Document Detail


Laparoscopic lymph node staging of cervical cancer in the 19th week of pregnancy. A case report.
MedLine Citation:
PMID:  11344441     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a 39-year-old gravida I para 0 woman who underwent laparoscopic staging of lymph node involvement in cervical cancer in the 19th week of pregnancy. She had been diagnosed with adenosquamous carcinoma of the cervix, stage 1B1, grade 2, with tumor involvement of the lymphovascular space and tumor involved resection margins via a cone biopsy in the 16th week of pregnancy. In order to decide whether it would be safe to proceed with the pregnancy, she was submitted to the laparoscopic exposure and removal of 18 parametric and pelvic lymph nodes. One positive lymph node was detected at the right internal iliac artery; therefore, an open radical hysterectomy with paraaortic lymphadenectomy was performed. This case shows that lymph node staging for cervical cancer can be done laparoscopically in the 2nd trimester. Information yielded during the course of this procedure can be crucial in deciding whether it is possible to preserve the pregnancy.
Authors:
H Hertel; M Possover; R Kühne-Heid; A Schneider
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2001-02-06
Journal Detail:
Title:  Surgical endoscopy     Volume:  15     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-05-09     Completed Date:  2002-01-21     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  324     Citation Subset:  IM    
Affiliation:
Department of Gynecology, Friedrich Schiller University of Jena, Bachstrasse 18, D-07740 Jena, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Biopsy
Carcinoma, Squamous Cell / diagnosis*,  pathology,  surgery
Cervix Uteri / pathology,  surgery
Female
Humans
Hysterectomy
Laparoscopy / methods*
Lymph Node Excision
Lymph Nodes / pathology*
Lymphatic Metastasis
Neoplasm Staging
Pregnancy
Pregnancy Complications / diagnosis*,  pathology,  surgery
Pregnancy Trimester, Second
Uterine Cervical Neoplasms / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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