Laparoscopic Institute for Gynecologic Oncology, 4370 Alpine Rd. Suite 104, Portola Valley, CA 94028, USA.
Gynecol Oncol. 2013 Sep;130(3):634-5. doi: 10.1016/j.ygyno.2013.05.014. Epub 2013 May 19.
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.
这位 49 岁的女性患有 III 期宫颈癌，其 PET/CT 扫描显示双侧骨盆和髂总淋巴结病。2011 年 7 月采用腹膜后入路切除高于最高记录的 PET 阳性区域的淋巴结。双侧肾下、广泛的肠系膜内和骨盆淋巴结被全面切除，显示双侧盆腔淋巴结 5/36 阳性，肠系膜内淋巴结 13/25 阳性，肾下淋巴结 3/20 阳性（这些后者在 PET 上未检测到）。进行了肾静脉上方 10cm 的调强放射治疗，并同时进行顺铂化疗，迄今无疾病状态。
