Ⅰ期巴氏腺鳞状细胞癌患者同侧腹股沟淋巴结阴性,对侧腹股沟淋巴结复发:两则病例报道及淋巴清除术的适应证

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Background. Modalities of inguinal lymphadenectomy in patients with early stage Bartholins gland squamous cell carcinoma (BGC) remain discussed. The aim of this paper is to report 2 patients with stage 1 BGC and negative ipsilateral groin nodes who developed a contralateral groin recurrence. Cases. Two patients treated for BGC and undergoing an ipsilateral groin nodes dissection (with absence of nodal involvement)presented contralateral groin recurrence. These recurrences were observed 14 and 3 months after the initial treatment in the first and second case. In the first case, the nodal recurrence was associated with a local vaginal recurrence. Conclusions. These 2 cases suggest that . cross . groin nodal involvement can occur, even in patients with early stage BGC. Bilateral groin dissection should be performed in patients with BGC. Background. Modalities of inguinal lymphadenectomy in patients with early stage Bartholin’s gland squamous cell carcinoma (BGC) remains discussed. The aim of this paper is to report 2 patients with stage 1 BGC and negative ipsilateral groin nodes who developed a contralateral groin recurrence. Cases. Two patients treated for BGC and undergoing an ipsilateral groin nodes dissection (with absence of nodal involvement) presented contralateral groin recurrence. These recurrences were observed 14 and 3 months after the initial treatment in the first and second cases. In the first case , the nodal recurrence was associated with a local vaginal recurrence. Conclusions. These 2 cases suggest that. cross. groin nodal involvement can occur, even in patients with early stage BGC. Bilateral groin dissection should be performed in patients with BGC.
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