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A case of isolated lateral lymph node recurrence occurring after TME for T1 lower rectal cancer treated with lateral lymph node dissection: report of a case

Surgery Today volume 43, pages 809–813 (2013)Cite this article

Abstract

We experienced a rare case of isolated lateral lymph node (LLN) recurrence after laparoscopic intersphincteric resection with total mesorectal excision for T1 lower rectal cancer that was successfully treated using LLN dissection with en bloc resection of the left superior vesical artery, the left ovary and the left obturator nerve, artery and vein. There are no guidelines for treating patients with isolated LLN recurrence because isolated LLN recurrence is rare, especially in patients with T1 rectal cancer. However, in patients with pT1N0 lower rectal cancer, follow-up examinations of the pelvis should be performed periodically. Patients with isolated LLN recurrence treated with surgery might have good long-term prognoses. Therefore, for such patients, surgical resection should be considered as a curative treatment only.

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Conflict of interest

Toshinori Sueda and the other co-authors have no conflicts of interest to declare.

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Affiliations

  1. Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari-ku, Osaka, 537-8511, Japan

    Toshinori Sueda, Shingo Noura, Masayuki Ohue, Tatsushi Shingai, Shinya Imada, Yoshiyuki Fujiwara, Hiroaki Ohigashi, Masahiko Yano & Osamu Ishikawa

  2. Department of Pathology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

    Yasuhiko Tomita

Authors
  1. Toshinori Sueda
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  2. Shingo Noura
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  3. Masayuki Ohue
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  4. Tatsushi Shingai
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  5. Shinya Imada
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  6. Yoshiyuki Fujiwara
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  7. Hiroaki Ohigashi
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  8. Masahiko Yano
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  9. Yasuhiko Tomita
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  10. Osamu Ishikawa
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Corresponding author

Correspondence to Shingo Noura.

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Sueda, T., Noura, S., Ohue, M. et al. A case of isolated lateral lymph node recurrence occurring after TME for T1 lower rectal cancer treated with lateral lymph node dissection: report of a case. Surg Today 43, 809–813 (2013). https://doi.org/10.1007/s00595-012-0266-x

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  • DOI: https://doi.org/10.1007/s00595-012-0266-x

Keywords

  • Isolated lateral lymph node recurrence
  • Submucosal rectal cancer
  • Surgical resection