Kato Kazuyoshi, Nomura Hidetaka, Nagashima Minoru, Takeshima Nobuhiro
Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan.
Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan.
Gynecol Oncol. 2016 Dec;143(3):684-685. doi: 10.1016/j.ygyno.2016.09.008. Epub 2016 Sep 11.
We report the details of a cytoreduction technique for pelvic lymph node recurrence with involvement of the external iliac vein (EIV) requiring a partial resection and reconstruction of the EIV.
A 51-year-old woman presented with ovarian cancer and isolated nodal recurrence located on the right side of the pelvis. As the tumor had infiltrated the EIV wall, we performed the EIV excision and reconstruction using an autogenous graft.
EIV reconstruction was achieved using a right ovarian vein patch. No intra- or early postoperative complications occurred. A postoperative enhanced magnetic resonance imaging examination confirmed the patency of the EIV.
An en bloc EIV excision and reconstruction for contiguous tumor involvement seems to be a feasible and safe surgical option.
我们报告一种针对盆腔淋巴结复发并累及髂外静脉（EIV），需要对EIV进行部分切除和重建的细胞减灭技术细节。
一名51岁女性患有卵巢癌，盆腔右侧出现孤立性淋巴结复发。由于肿瘤已浸润EIV壁，我们使用自体移植物进行了EIV切除和重建。
使用右卵巢静脉补片完成了EIV重建。未发生术中或术后早期并发症。术后增强磁共振成像检查证实EIV通畅。
对于连续性肿瘤累及，整块切除EIV并重建似乎是一种可行且安全的手术选择。
