Widespread lymph node metastases in a young woman with FIGO stage IA1 squamous cervical cancer.
Gynecol Oncol
; 97(2): 659-61, 2005 May.
Article
em En
| MEDLINE
| ID: mdl-15863175
ABSTRACT
BACKGROUND:
Lymphatic and hematologic metastases are rare in microinvasive cervical cancers (FIGO stage IA1), supporting a role for conservative treatment. Cervical conization followed by prolonged surveillance is an accepted treatment in patients with low-risk features and negative surgical margins. This option is particularly appealing for younger or nulliparous patients, in whom fertility may be highly desired. CASE We report a case of a 22-year-old, HIV-negative female with stage IA1 squamous cell cervical carcinoma who was found to have bilateral lymph node metastases in both pelvic and para-aortic distributions after electing to undergo hysterectomy.CONCLUSION:
Clinicians treating patients with microinvasive cervical cancer conservatively must be aware of the possibility of lymph node involvement and should consider radiological imaging to look for metastatic disease.
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Base de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Escamosas
/
Neoplasias do Colo do Útero
/
Linfonodos
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article