Repeat Laparoscopic Para-Aortic Lymphadenectomy of an Isolated Lymph Node Recurrence in Patient with Stage IB2 Cervical Cancer

Abstract

Study Objective: To report a case of repeat laparoscopic para-aortic lymphadenectomy after surgery and concurrent chemoradiation of cervical cancer, FIGO stage IB2. Design: A case report. Setting: University teaching hospital. Patients: One patuient with isolated recurrent para-aortic lymph node. Intervention: Repeat Laparoscopic Para-aortic Lymphadenectomy. Measurements and Main Results: A 49-year-old woman had an isolated para-aortic lymph node recurrence 12 months after the initial treatment, F-18 fluoro-deoxyglucose-positron emission tomography-computed tomography showed left para-aortic lymph nodes with increased uptake of F-18 fluoro-deoxyglucose. This was successfully removed in a repeat LPAL. She received three cycles of combination chemotherapy and showed a complete clinical response. Conclusion: Repeat LPAL is thus a feasible and effective procedure to remove and confirm of an isolated para-aortic lymph node recurrence after previous surgery and chemoradiation for treating cervical cancer.