The Journal of Minimally Invasive Gynecology
Volume 12, Issue 6 , Pages 522-524, December 2005

Total laparoscopic radical trachelectomy with intraoperative sentinel node identification for early cervical stump cancer

Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno-infantil Vall d′Hebron, Autonomous University of Barcelona, Barcelona, Spain.

Received 21 March 2005; accepted 1 August 2005.

Abstract 

A 60-year-old patient had undergone a subtotal hysterectomy through a standard laparotomy approach due to multiple uterine myomas 6 years before. She had a 1-month history of postmenopausal uterine bleeding. An endocervical polyp was found and excised. The histopathologic examination showed a poorly differentiated adenocarcinoma. Magnetic resonance imaging of the abdomen and pelvis revealed the mass (4 × 2 × 2.5 cm) without parametrial involvement previously identified on vaginal examination. There was no retroperitoneal adenopathy. The patient was successfully treated with total laparoscopic radical trachelectomy in association with laparoscopic intraoperative detection of the sentinel lymph node.

Keywords:  Stump cervical cancer , Sentinel lymph node , Total laparoscopic radical trachelectomy

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1553-4650(05)00900-3

doi:10.1016/j.jmig.2005.09.004

The Journal of Minimally Invasive Gynecology
Volume 12, Issue 6 , Pages 522-524, December 2005