title: Comprehensive, therapeutic retroperitoneal pelvic and infrarenal aortic lymphadenectomy for advanced cervical carcinoma.
abstract: This 49-year-old female with stage III cervical carcinoma presented with a PET/CT scan showing bilateral pelvic and common ileac adenopathy. A retroperitoneal approach to resect the nodes well above the highest documented PET positive region was employed in July 2011. The bilateral infrarenal, bulky inframesenteric and pelvic nodes were comprehensively removed, revealing bilaterally positive nodes in 5/36 pelvic nodes, 13/25 inframesenteric nodes, and 3/20 infrarenal nodes (these latter not detected on PET). Image-modulated radiation to 10 cm above the renal vein, with concurrent cisplatin chemotherapy was undertaken, resulting in a disease-free status thus far.
authors.affiliation: Laparoscopic Institute for Gynecologic Oncology, 4370 Alpine Rd. Suite 104, Portola Valley, CA 94028, USA. Kate.OHanlanMD@gmail.com
authors.forename: Katherine A
authors.initials: KA
authors.lastname: O'Hanlan
mesh_terms: D001011:Aorta; D005260:Female; D006801:Humans; D007668:Kidney; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000601:surgery*; D008643:Mesentery; D008875:Middle Aged; D064847:Multimodal Imaging; D010388:Pelvis; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Cervical carcinoma; Laparoscopic staging; Lymphadenectomy