Departments of Urology and Oncology, Great Ormond Street Hospital NHS Trust, Great Ormond Street, London WC1N 3JH, United Kingdom.
J Pediatr Urol. 2010 Apr;6(2):185-7. doi: 10.1016/j.jpurol.2009.07.008. Epub 2009 Aug 13.
Determining lymph node involvement is an important step in the pre-treatment evaluation of non-metastatic rhabdomyosarcoma. We describe retroperitoneoscopy for para-aortic lymph node biopsy in a 4-year-old boy with embryonal rhabdomyosarcoma of the bladder with pelvic and para-aortic lymph node enlargement on magnetic resonance imaging. This technique affords access to the para-aortic region with minimal dissection, permitting quick recovery and early commencement of chemotherapy.
确定淋巴结是否受累是非转移性横纹肌肉瘤治疗前评估的重要步骤。我们描述了一例 4 岁男孩的病例，该男孩患有膀胱胚胎性横纹肌肉瘤，磁共振成像显示骨盆和主动脉旁淋巴结肿大。该男孩接受了后腹腔镜下主动脉旁淋巴结活检术，该技术可以进行最小程度的解剖，进入主动脉旁区域，从而实现快速康复和早期开始化疗。
