Pelvic lymphocysts after radical hysterectomy and lymphadenectomy.
Five cases (5.5%) of lymphocysts were diagnosed and treated, among 80 type III modified radical hysterectomies performed for cervical cancer St. Ia2-IIa, in the last 6 years. Identification was initially made by palpation and confirmed by CT or US, in 4/5 cases in the first 2 postoperative months. Pelvic pain, fever and pressure symptoms were the most common clinical findings. A conservative approach was successful in 4/5 cases. Spontaneous regression was observed in one, while needle aspiration under radiologic guidance with (1/3) or without (2/3) tube insertion was applied in the rest. Conservative treatment failed in the last case presenting with a 12 cm cyst. An intestinal fistula developed, necessitating partial resection of the ileus and marsipulization. The complicated course of this patient's disease may indicate that a more aggressive treatment is warranted for large persisting cysts located in the irradiated field.
Fotiou
S K
SK
Regional Anticancer Oncological Hospital of Athens St. Savvas, Greece.
Tserkezoglou
A J
AJ
Steinhauer
G
G
Papailiou
J
J
Tavernarakis
A
A
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008197:Lymph Node Excision / Q000009:adverse effects*; D008210:Lymphocele / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000601:surgery