Salvage para-aortic lymphadenectomy in recurrent cervical cancer after visualization with 3-dimensional computed tomography angiography
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We report a case of salvage lymphadenectomy for an isolated metastatic lesion in the para-aortic lymph node (LN)in a 49-year old woman with a history of cervical cancer, initially treated with radical hysterectomy and adjuvantradiotherapy. Preoperative 3-dimensional (3D) computed tomography (CT) angiography clearly revealed a huge retrocruralmetastatic LN with distinct demarcation. A metastatic lesion, more than 10 cm in size, was located behind thevena cava, aorta, and left kidney, encompassing the left renal and lumbar arteries. The metastatic LN was excisedalong with the left kidney. On histologic examination, the tumor was found to have invaded the pelvis of the leftkidney. Compared with conventional imaging techniques, 3D CT angiography can more clearly visualize such lesions. Thus, 3D CT angiography provides useful anatomical information, such as the exact size and location, and providesclear visualization and demarcation.
Abstract
We report a case of salvage lymphadenectomy for an isolated metastatic lesion in the para-aortic lymph node (LN)in a 49-year old woman with a history of cervical cancer, initially treated with radical hysterectomy and adjuvantradiotherapy. Preoperative 3-dimensional (3D) computed tomography (CT) angiography clearly revealed a huge retrocruralmetastatic LN with distinct demarcation. A metastatic lesion, more than 10 cm in size, was located behind thevena cava, aorta, and left kidney, encompassing the left renal and lumbar arteries. The metastatic LN was excisedalong with the left kidney. On histologic examination, the tumor was found to have invaded the pelvis of the leftkidney. Compared with conventional imaging techniques, 3D CT angiography can more clearly visualize such lesions. Thus, 3D CT angiography provides useful anatomical information, such as the exact size and location, and providesclear visualization and demarcation.
참고문헌 (13)
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