title: Repeat laparoscopic paraaortic lymphadenectomy for an isolated lymph node recurrence in a patient with stage IB2 cervical cancer.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, University of California, Irvine, USA.
authors.forename: Jeong-Kyu
authors.initials: JK
authors.lastname: Hoh
authors.forename: Joong Sub
authors.initials: JS
authors.lastname: Choi
authors.forename: Jung Hun
authors.initials: JH
authors.lastname: Lee
authors.forename: Kyo Won
authors.initials: KW
authors.lastname: Lee
authors.forename: Jong Sul
authors.initials: JS
authors.lastname: Han
authors.forename: Eun Jeong
authors.initials: EJ
authors.lastname: Lee
mesh_terms: 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*