title: Case of isolated lateral lymph node recurrence occurring after TME for T1 lower rectal cancer treated with lateral lymph node dissection: report of a case.
abstract: We experienced a rare case of isolated lateral lymph node (LLN) recurrence after laparoscopic intersphincteric resection with total mesorectal excision for T1 lower rectal cancer that was successfully treated using LLN dissection with en bloc resection of the left superior vesical artery, the left ovary and the left obturator nerve, artery and vein. There are no guidelines for treating patients with isolated LLN recurrence because isolated LLN recurrence is rare, especially in patients with T1 rectal cancer. However, in patients with pT1N0 lower rectal cancer, follow-up examinations of the pelvis should be performed periodically. Patients with isolated LLN recurrence treated with surgery might have good long-term prognoses. Therefore, for such patients, surgical resection should be considered as a curative treatment only.
authors: Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari-ku, Osaka, 537-8511, Japan.
authors: Toshinori
authors: T
authors: Sueda
authors: Shingo
authors: S
authors: Noura
authors: Masayuki
authors: M
authors: Ohue
authors: Tatsushi
authors: T
authors: Shingai
authors: Shinya
authors: S
authors: Imada
authors: Yoshiyuki
authors: Y
authors: Fujiwara
authors: Hiroaki
authors: H
authors: Ohigashi
authors: Masahiko
authors: M
authors: Yano
authors: Yasuhiko
authors: Y
authors: Tomita
authors: Osamu
authors: O
authors: Ishikawa
mesh_terms: D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome