Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1999 May 1;80(3-4):403–406. doi: 10.1038/sj.bjc.6690370

Conservative treatment followed by chemotherapy with doxorubicin and ifosfamide for cervical sarcoma botryoides in young females

G Zanetta 1, S M Rota 1, A Lissoni 1, S Chiari 1, G Bratina 2, C Mangioni 1
PMCID: PMC2362332  PMID: 10408845

Abstract

Sarcoma botryoides of the cervix is an extremely rare tumour and seems to be associated with a better prognosis than its vaginal counterpart. Recent studies have suggested that it is possible to limit surgery to local excision in stage I cases. We report three cases of young subjects treated successfully with polypectomy or diathermy loop excision followed by adjuvant chemotherapy. One patient had a local recurrence which was treated with further local excision. All subjects remain alive without evidence of recurrence and with normal menstrual function 36, 38 and 38 months following initial diagnosis. A conservative surgical approach to early cervical sarcoma botryoides is possible. The efficacy of adjuvant chemotherapy and the regimen of choice still need to be investigated. © 1999 Cancer Research Campaign

Keywords: sarcoma botryoides, embryonal rhabdomyosarcoma, cervix, chemotherapy, conservative surgery

Full Text

The Full Text of this article is available as a PDF (255.2 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brand E., Berek J. S., Nieberg R. K., Hacker N. F. Rhabdomyosarcoma of the uterine cervix. Sarcoma botryoides. Cancer. 1987 Oct 1;60(7):1552–1560. doi: 10.1002/1097-0142(19871001)60:7<1552::aid-cncr2820600724>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
  2. DANIEL W. W., KOSS L. G., BRUNSCHWIG A. Sarcoma botryoides of the vagina. Cancer. 1959 Jan-Feb;12(1):74–84. doi: 10.1002/1097-0142(195901/02)12:1<74::aid-cncr2820120113>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
  3. Daya D. A., Scully R. E. Sarcoma botryoides of the uterine cervix in young women: a clinicopathological study of 13 cases. Gynecol Oncol. 1988 Mar;29(3):290–304. doi: 10.1016/0090-8258(88)90228-4. [DOI] [PubMed] [Google Scholar]
  4. Ghavimi F., Exelby P. R., D'Angio G. J., Cham W., Lieberman P. H., Tan C., Miké V., Murphy M. L. Multidisciplinary treatment of embryonal rhabdomyosarcoma in children. Cancer. 1975 Mar;35(3):677–686. doi: 10.1002/1097-0142(197503)35:3<677::aid-cncr2820350321>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]
  5. Gordon A. N., Montag T. W. Sarcoma botryoides of the cervix: excision followed by adjuvant chemotherapy for preservation of reproductive function. Gynecol Oncol. 1990 Jan;36(1):119–124. doi: 10.1016/0090-8258(90)90121-z. [DOI] [PubMed] [Google Scholar]
  6. Hays D. M., Shimada H., Raney R. B., Jr, Tefft M., Newton W., Crist W. M., Lawrence W., Jr, Ragab A., Maurer H. M. Sarcomas of the vagina and uterus: the Intergroup Rhabdomyosarcoma Study. J Pediatr Surg. 1985 Dec;20(6):718–724. doi: 10.1016/s0022-3468(85)80032-4. [DOI] [PubMed] [Google Scholar]
  7. Hilgers R. D. Pelvic exenteration for vaginal embryonal rhabdomyosarcoma: a review. Obstet Gynecol. 1975 Feb;45(2):175–180. [PubMed] [Google Scholar]
  8. Holton C. P., Chapman K. E., Lackey R. W., Hatch E. I., Baum E. S., Favara B. E. Extended combination therapy of childhood rhabdomyosarcoma. Cancer. 1973 Dec;32(6):1310–1316. doi: 10.1002/1097-0142(197312)32:6<1310::aid-cncr2820320603>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]
  9. Lin J., Lam S. K., Cheung T. H. Sarcoma botryoides of the cervix treated with limited surgery and chemotherapy to preserve fertility. Gynecol Oncol. 1995 Aug;58(2):270–273. doi: 10.1006/gyno.1995.1225. [DOI] [PubMed] [Google Scholar]
  10. Montag T. W., D'ablaing G., Schlaerth J. B., Gaddis O., Jr, Morrow C. P. Embryonal rhabdomyosarcoma of the uterine corpus and cervix. Gynecol Oncol. 1986 Oct;25(2):171–194. doi: 10.1016/0090-8258(86)90098-3. [DOI] [PubMed] [Google Scholar]
  11. Ortega J. A. A therapeutic approach to childhood pelvic rhabdomyosarcoma without pelvic exenteration. J Pediatr. 1979 Feb;94(2):205–209. doi: 10.1016/s0022-3476(79)80824-0. [DOI] [PubMed] [Google Scholar]
  12. Perrone T., Carson L. F., Dehner L. P. Rhabdomyosarcoma with heterologous cartilage of the uterine cervix: a clinicopathologic and immunohistochemical study of an aggressive neoplasm in a young female. Med Pediatr Oncol. 1990;18(1):72–76. doi: 10.1002/mpo.2950180116. [DOI] [PubMed] [Google Scholar]
  13. Rutledge F., Sullivan M. P. Sarcoma botryoides. Ann N Y Acad Sci. 1967 May 10;142(3):694–708. doi: 10.1111/j.1749-6632.1967.tb14680.x. [DOI] [PubMed] [Google Scholar]
  14. Zeisler H., Mayerhofer K., Joura E. A., Bancher-Todesca D., Kainz C., Breitenecker G., Reinthaller A. Embryonal rhabdomyosarcoma of the uterine cervix: case report and review of the literature. Gynecol Oncol. 1998 Apr;69(1):78–83. doi: 10.1006/gyno.1998.4962. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES