Table 1: Description of tumor characteristics for each patient.
Abbreviations: G - degree of tumor histological differentiation, PL - pelvic lymphadenectomy, MOF - multi-organ failure, PTE – pulmonary thromboembolism, CT - chemotherapy, RT - radiotherapy.
n Age (years) Primary Carcinoma Stage at diagnosis Initial Therapy Time to recurrence Surgery Pelvic Reconstruction Complications Adjuvancy Follow-up (months) Status
1 43 Squamous Cervical Carcinoma G1 IIB Radical hysterectomy and Bilateral PL Adjuvant RT. 27 years Total Supralevator Pelvic Exenteration by laparotomy bilateral PL Paraaortic lymph-node sampling Biological Mesh Abdominopelvic Abscess Abdominal wall dehiscence Urinary tract obstruction Perioperative Interstitial Brachytherapy 10.9 Deceased (local relapse before one year since exenteration)
2 73 Endometrial Stromal Sarcoma G1 IVA Two procedures for local exeresis 7 months Total Supralevator Pelvic Exenteration by laparotomy Bilateral Gracilis Myocutaneous Flap + Biological Mesh Abdominal Abscess Abdominal wall dehiscence Abdominal wall Cellulitis Pneumonia Septic Shock and MOF PTE No Deceased of postoperative complications Deceased
3 63 Squamous Vaginal Carcinoma G3 II RT 20 years Total Infralevator Pelvic Exenteration by laparotomy Bilateral PL Vulvectomía Simple Epiploplasty + Biological Mesh Femoral nerve neuropathy (L2-L3-L4 lumbar plexus) CT 2 Free of disease
4 46 Squamous Vaginal Carcinoma I RT 24 months Laparo-assisted Total Infralevator Pelvic Exenteration Radical Vulvovaginectomy Bilateral Gracilis Myocutaneous Flap + Biological Mesh + Neovagina Flap ischemia Abdominopelvic Abscesses Not possible because of postoperative complications 13.3 Deceased (local relapse and metastatic disease before one year since exenteration)
5 67 Squamous Cervical Carcinoma G2 IB1 RT 32 years Total Supralevator Pelvic Exenteration by laparotomy Bilateral PL Para-aortic lymphnode sampling Radical Vulvo-vaginectomy Biological Mesh Femoral nerve neuropathy (L2-L3-L4 lumbar plexus) RT 9.5 Free of disease
6 44 Urothelial Carcinoma Undifferentiated T4N0M0 Initial suspicion of gynecologic sarcomatoid tumor type with involvement of the anterior pelvis and associated deep pelvic endometriosis. No relapse Laparo-assisted Anterior Supralevator Pelvic Exenteration End-to-End Ileocecal Anastomosis Bilateral PL Epiploplasty + Biological Mesh Evisceration Abdominopelvic Abscesses Urinary infection Bilateral Nephrostomy due to Bricker obstruction Adynamic ileus Pleural effusion CT 7 Free of disease