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Volume 12, Issue 6, Pages 522-524 (December 2005)


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

Berta Díaz-Feijoo, MDCorresponding Author Informationemail addressemail address, Antonio Gil-Moreno, MD, PhD, Oriol Puig, MD, José M. Martínez-Palones, MD, PhD, Jordi Xercavins, MD, PhD

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.

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

Corresponding Author InformationCorresponding author: Berta Díaz-Feijoo, MD, Unit of Gynecologic Oncology, Hospital Materno-infantil Vall d′Hebron, Passeig Vall d′Hebron 119-129, E- 08035 Barcelona, Spain.

PII: S1553-4650(05)00900-3

doi:10.1016/j.jmig.2005.09.004


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