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Repeat laparoscopic paraaortic lymphadenectomy for an isolated lymph node recurrence in a patient with stage IB2
Jeong-Kyu Hoh1, Joong Sub Choi, Jung Hun Lee
1Department of Obstetrics and Gynecology, University of California, Irvine, USA.
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.
