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Cervical cancer is an aggressive gynecologic malignancy with a high capacity of local tumor spread and involvement of the surrounding organs. In these cases multiple pelvic organ resection might be needed to obtain a good local control of the disease. Although plevic exenteration has been considered for long time as a debilitant procedure associated with unacceptable risks of postoperative complications, in the last few decades it has been recognised as a salvage therapy and the only possible chance for cure for these cases which can be safely applied in elderly patients too. We present the case of a 81 year old patient who was diagnosed with a large cervical tumor invading the urinary bladder and the rectum in whom a total pelvic exenteration was performed.

Total pelvic exenteration for locally invasive cervical tumor in an elderly patient - a case report and literature review