Salvage para-aortic lymphadenectomy in recurrent cervical cancer after visualization with 3-dimensional computed
Tomoyasu Kato1, Ki Ho Seol2, Jung Soo Youn3
1Department of Gynecology, National Cancer Center Hospital, Tokyo, Japan.
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 adjuvant radiotherapy. Preoperative 3-dimensional (3D) computed tomography (CT) angiography clearly revealed a huge retro-crural metastatic LN with distinct demarcation. A metastatic lesion, more than 10 cm in size, was located behind the vena cava, aorta, and left kidney, encompassing the left renal and lumbar arteries. The metastatic LN was excised along with the left kidney. On histologic examination, the tumor was found to have invaded the pelvis of the left kidney. 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 provides clear visualization and demarcation.
More Related Videos
Related Concept Videos
Computed Tomography
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
ortho–para-Directing Activators: –CH3, –OH, –⁠NH2, –OCH3
Imaging Studies III: Computed Tomography
Directing Effect of Substituents: ortho–para-Directing Groups
Dimensional Analysis
Conversion Factors and Dimensional Analysis
The unit...
ortho–para-Directing Deactivators: Halogens


