Salvage para-aortic lymphadenectomy in recurrent cervical cancer after visualization with 3-dimensional computed tomography angiography.
10.5468/ogs.2018.61.5.626
- Author:
Tomoyasu KATO
1
;
Ki Ho SEOL
;
Jung Soo YOUN
;
Dae Gy HONG
Author Information
1. Department of Gynecology, National Cancer Center Hospital, Tokyo, Japan.
- Publication Type:Case Report
- Keywords:
Cervical cancer;
Lymphadenectomy;
Recurrence;
Computed tomography angiography
- MeSH:
Angiography*;
Aorta;
Arteries;
Female;
Humans;
Hysterectomy;
Kidney;
Lymph Node Excision*;
Lymph Nodes;
Pelvis;
Radiotherapy, Adjuvant;
Recurrence;
Uterine Cervical Neoplasms*
- From:Obstetrics & Gynecology Science
2018;61(5):626-630
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of salvage lymphadenectomy for an isolated metastatic lesion in the para-aortic lymph node (LN) in a 49-year old woman with a history of cervical cancer, initially treated with radical hysterectomy and adjuvant radiotherapy. Preoperative 3-dimensional (3D) computed tomography (CT) angiography clearly revealed a huge retro-crural metastatic LN with distinct demarcation. A metastatic lesion, more than 10 cm in size, was located behind the vena cava, aorta, and left kidney, encompassing the left renal and lumbar arteries. The metastatic LN was excised along with the left kidney. On histologic examination, the tumor was found to have invaded the pelvis of the left kidney. Compared with conventional imaging techniques, 3D CT angiography can more clearly visualize such lesions. Thus, 3D CT angiography provides useful anatomical information, such as the exact size and location, and provides clear visualization and demarcation.
