Outcome of Surgical Intervention for Intrathoracic Lymph Node Metastasis in Uterine and Ovarian Cancer without Lung Metastasis: A Report of Three Cases

Miyazaki R1, Tamura M1*, Yamamoto M1, Okada H1, Ujihara Y2, Ushiwaka T2 and Maeda N2

1Department of Thoracic Surgery, Kochi Medical University, Japan
2Department of Obstetrics and Gynecology, Kochi Medical University, Japan

^*Correspondance to: Masaya Tamura 

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Abstract:

We describe the results of lymph node dissection with gynecological cancer and hilar mediastinal lymph node metastasis but no lung metastasis. Case 1 was a 50-year-old woman diagnosed with ovarian cancer with mediastinal lymph node metastasis. After 4 courses of chemotherapy, a total hysterectomy, omentectomy, and mediastinal lymph node dissection were performed simultaneously. The patient is still alive 58 months after surgery. Case 2 was a 68-year-old woman who underwent a total hysterectomy after chemotherapy for endometrial cancer with multiple lymph node metastases. Forty-two months after surgery, mediastinal lymph node dissection was performed for metastasis of uterine cancer. She is still alive 75 months after surgery. Case 3 was a 69-year-old woman who underwent a hysterectomy for endometrial cancer. One year after surgery, she underwent thoracoscopic hilar and mediastinal lymph node dissection due to metastasis. Thirty-nine months have passed with no recurrence. Aggressive local control, particularly surgical resection of isolated hilar mediastinal lymph nodes in gynecological cancer may contribute to prolonging patient survival.

Keywords:

Lymph node metastasis; Surgical intervention; Thorax; Uterine and ovarian cancer

Cite the Article:

Miyazaki R, Tamura M, Yamamoto M, Okada H, Ujihara Y, Ushiwaka T, et al. Outcome of Surgical Intervention for Intrathoracic Lymph Node Metastasis in Uterine and Ovarian Cancer without Lung Metastasis: A Report of Three Cases. Ann Clin Case Rep. 2024; 9: 2642..