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Radical Hysterectomy with Pelvic and Lumbar-aortic Lymphadenectomy in Neuroendocrine Carcinoma of the Cervix.
Case description
28years old patient without obstetric history in January 2013 had performed excision of cervical polyp. Histopathological diagnosis: Small-cell neuroendocrine carcinoma of the cervix. There was a 16mm isolated focus located in uterine cervix found in MRI. Metastases were not observed in MRI. First choice treatment was 6 courses of Chemotherapy with Cisplatin and Etoposide. After Chemotherapy patient was qualified for total hysterectomy. Because of metabolic activity of para-aortic nodule (located next to left renal artery) in PET Scan , the para-aortic lymphadenectomy was performed.
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