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Japanese Journal of Clinical Oncology Advance Access originally published online on March 5, 2008
Japanese Journal of Clinical Oncology 2008 38(4):305-307; doi:10.1093/jjco/hyn011
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© The Author (2008). Published by Oxford University Press. All rights reserved

A Case of Lateral Pelvic Lymph Node Recurrence after TME for Submucosal Rectal Carcinoma Successfully Treated by Lymph Node Dissection with En Bloc Resection of the Internal Iliac Vessels

Junko Hara, Seiichiro Yamamoto, Shin Fujita, Takayuki Akasu and Yoshihiro Moriya

Division of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan

For reprints and all correspondence: Seiichiro Yamamoto, Division of Colorectal Surgery, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan. E-mail: seyamamo{at}ncc.go.jp

Received September 21, 2007; accepted February 3, 2008

In Japan, lateral lymph node dissection (LLND) is generally performed for the treatment of T3–4 lower rectal carcinoma, and not for T1 lower rectal carcinoma, because of a low positive rate in patients with T1 lesion. We experienced a rare case of lateral pelvic lymph node recurrence after total mesorectal resection for T1 lower rectal carcinoma, successfully treated by LLND with en bloc resection of the internal iliac vessels. There is no guideline for the treatment of patients with isolated lateral lymph node recurrence; however, surgery should be considered for such patients.

Key Words: submucosal rectal carcinoma • isolated lateral lymph node recurrence • surgical resection


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