Can we triumph over locally advanced cervical cancer with colossal para-aortic lymph nodes? A case report  

作　　者：Abdulla Alzibdeh Issa Mohamad Lina Wahbeh Ramiz Abuhijlih Fawzi Abuhijla 

机构地区：[1]Department of Radiation Oncology,King Hussein Cancer Center,Amman 11941,Jordan

出　　处：《World Journal of Clinical Cases》2024年第10期1851-1856,共6页世界临床病例杂志

摘　　要：BACKGROUND Para-aortic lymph nodes(PALNs)are common sites for the regional spread of cervical squamous cell carcinoma(SCC).CASE SUMMARY We report the case of a 36-year-old woman who presented with cervical SCC with multiple bulky PALNs,largest measured 4.5 cm×5 cm×10 cm.The patient was treated with radical intent with definitive chemoradiation using sequential doseescalated adaptive radiotherapy,followed by maintenance chemotherapy.The patient achieved a complete response;she has been doing well since the completion of treatment with no evidence of the disease for 2 years.CONCLUSION Regardless of the size of PALN metastases of cervical carcinoma origin,it is still treatable(with radical intent)via concurrent chemoradiation.Adaptive radiotherapy allows dose escalation with minimal toxicity.

关 键 词：Cervical cancer BULKY Lymph node RADIOTHERAPY Para-aortic Case report 

分 类 号：R735.2[医药卫生—肿瘤]