Laparoscopic lymph node staging of cervical cancer in the 19th week of pregnancy. A case report

Surgical Endoscopy
H HertelA Schneider

Abstract

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.

Citations

Jul 30, 2005·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Lang, U Lang
Apr 19, 2002·Journal of Endourology
Jan 15, 2008·Journal de gynécologie, obstétrique et biologie de la reproduction·L Selleret, P Mathevet
Jan 8, 2008·American Journal of Obstetrics and Gynecology·Souhail Alouini, Patrice Mathevet
Jan 16, 2014·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Giuseppe Filiberto VercellinoVito Chiantera
Jun 19, 2009·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Frédéric AmantAndreas du Bois
Aug 7, 2017·The Journal of Veterinary Medical Science·Hyunjoo LimWan Hee Kim
Aug 2, 2002·Current Opinion in Obstetrics & Gynecology·Haya Al-Fozan, Togas Tulandi
Aug 2, 2002·Current Opinion in Obstetrics & Gynecology·Arnaud WattiezLuigi Selvaggi
Aug 23, 2002·Current Opinion in Oncology·J N McAlpineM D Chen

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