**4. Conclusions**

The association between pelvic kidneys and cervical cancer represents a scarce eventuality, only few cases being reported so far. In such patients, the therapeutic strategy should be carefully analyzed, with multiple dilemmas being reported so far. Moreover, the association between advanced cervical cancer and an ectopic kidney is even rarer, a single case which was finally submitted for anterior pelvic exenteration being reported so far. When it comes to the necessity of an association of total pelvic exenteration with a nephrectomy, to the best of our knowledge, this is the first case reported so far. The presence of a massive local invasion in the surrounding viscera, as well as renal invasion in association with the presence of a massive peritumoral abscess, enabled us to consider that total pelvic exenteration en bloc with a nephrectomy represent the best option for this case.

**Author Contributions:** N.B., performed surgery; I.B., prepared the manuscript; M.V. and A.F., part of the surgical team; C.D. and L.I., advised about the nephrological outcome; S.D., produced figures; I.B. and C.D., finally reviewed the manuscript and advised about the surgical procedure; all the authors agreed with the final version of the manuscript. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Acknowledgments:** This work was supported by the project entitled "Multidisciplinary Consortium for Supporting the Research Skills in Diagnosing, Treating and Identifying Predictive Factors of Malignant Gynecologic Disorders", project number PN-III-P1-1.2-PCCDI2017-0833.

**Conflicts of Interest:** The authors declare no conflict of interest.

#### **References**


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