AI Article Synopsis
- A CT-guided marking technique was used to identify a small, undetectable tumor before laparoscopic resection in a patient with a history of uterine stromal sarcoma.
- The patient, a 63-year-old woman, experienced a recurrence of cancer two years after her total hysterectomy, with a small tumor near the right intestinal psoas muscle.
- Following the preoperative marking, successful retroperitoneal laparoscopic resection of the recurrent tumor was conducted, confirming the diagnosis of endometrial stromal sarcoma.
Article Abstract
When resecting small tumors or tumors with an irregular margin, a marking technique is conducted prior to the surgery. CT-guided marking techniques are common in pulmonary surgery, but it is rarely used in abdominal or urological surgery. We performed a marking technique for a small tumor that was undetectable by ultrasound using CT guidance prior to laparoscopic resection.A 63 year-old woman, two years after total hysterectomy for uterine stromal sarcoma, underwent combined right kidney resection and retroperitoneal tumor resection for a giant recurrence. Two months after the surgery, micro recurrence was observed in the vicinity of the right intestinal psoas muscle which upon follow up, the tumor size increased to 1 cm. Surgical resection of the small recurrent tumor was planned. Since it was difficult to detect by ultrasound, preoperative CT-guided marking was performed. Retroperitoneal laparoscopic resection was performed the following day. The histopathological diagnosis was endometrial stromal sarcoma.
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| http://dx.doi.org/10.5980/jpnjurol.111.34 | DOI Listing |
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