C. A. C. Lima, Juliana Karine Ferreira Santos Lessa, Luciana M. Silva, M. Martins, R. L. Santos
{"title":"Management of Para-Aortic Lymph Node Metastasis in Rectal Squamous Carcinoma","authors":"C. A. C. Lima, Juliana Karine Ferreira Santos Lessa, Luciana M. Silva, M. Martins, R. L. Santos","doi":"10.31487/j.jscr.2020.03.06","DOIUrl":null,"url":null,"abstract":"Background: Squamous cell carcinoma (SCC) of the rectum is a rare malignancy, and retroperitoneal nodal\nmetastasis (RNM) represent 1-2% of colorectal cancer metastasis (CRC), and radical retroperitoneal\nlymphadenectomy (RRL) in this setting remains controversial. However, there are no reports in the literature\non how to treat SCC retroperitoneal lymph node metastasis.\nCase Presentation: The patient was a 47-years-old woman with SCC of the rectum. Concomitant\nchemoradiotherapy (CRT) followed by surgery was planned. After 8 weeks, CT of the abdomen for\nrestaging showed a 6 cm para-aortic mass involving and obstructing the medium third of the left ureter. The\npatient was submitted to abdominoperineal rectal resection with left nephrectomy and en-bloc resection of\npara-aortic tumor (nodal bulking).\nConclusion: After a thorough review of the literature regarding RNM for rectal SCC, we found no mention\nof how to treat RNM for rectal SCC. The purpose of this paper is to report a very rare case of RNM for\nrectal SCC and to discuss the surgical approach. Surgery seems to be the best option for local control and\nimprovement in overall survival (OS).","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31487/j.jscr.2020.03.06","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Squamous cell carcinoma (SCC) of the rectum is a rare malignancy, and retroperitoneal nodal
metastasis (RNM) represent 1-2% of colorectal cancer metastasis (CRC), and radical retroperitoneal
lymphadenectomy (RRL) in this setting remains controversial. However, there are no reports in the literature
on how to treat SCC retroperitoneal lymph node metastasis.
Case Presentation: The patient was a 47-years-old woman with SCC of the rectum. Concomitant
chemoradiotherapy (CRT) followed by surgery was planned. After 8 weeks, CT of the abdomen for
restaging showed a 6 cm para-aortic mass involving and obstructing the medium third of the left ureter. The
patient was submitted to abdominoperineal rectal resection with left nephrectomy and en-bloc resection of
para-aortic tumor (nodal bulking).
Conclusion: After a thorough review of the literature regarding RNM for rectal SCC, we found no mention
of how to treat RNM for rectal SCC. The purpose of this paper is to report a very rare case of RNM for
rectal SCC and to discuss the surgical approach. Surgery seems to be the best option for local control and
improvement in overall survival (OS).