Repeat laparoscopic paraaortic lymphadenectomy for an isolated lymph node recurrence in a patient with stage IB2 cervical cancer.
We report a case of repeat laparoscopic paraaortic lymphadenectomy (LPAL) after surgery and concurrent chemoradiation of cervical cancer, FIGO stage IB2. Twelve months after the initial treatment, F-18 fluoro-deoxyglucose-positron emission tomography-computed tomography showed an isolated paraaortic lymph node recurrence in a 49-year-old woman. The lymph nodes were successfully removed in a repeat LPAL. The patient received 3 cycles of combination chemotherapy and showed a complete clinical recovery. Repeat LPAL is thus a feasible and effective procedure to remove and confirm of an isolated paraaortic lymph node recurrence after previous surgery and chemoradiation for treating cervical cancer.
Hoh
Jeong-Kyu
JK
Department of Obstetrics and Gynecology, University of California, Irvine, USA.
Choi
Joong Sub
JS
Lee
Jung Hun
JH
Lee
Kyo Won
KW
Han
Jong Sul
JS
Lee
Eun Jeong
EJ
D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009367:Neoplasm Staging; D021701:Sentinel Lymph Node Biopsy; D002583:Uterine Cervical Neoplasms / Q000473:pathology*