Aggressive Resection of Malignant Paraaortic and Pelvic Tumors Accompanied by Arterial Reconstruction with Synthetic Arterial Graft

Ryotaro Tani; Tomohide Hori; Hidekazu Yamamoto; Hideki Harada; Michihiro Yamamoto; Masahiro Yamada; Takefumi Yazawa; Ben Sasaki; Masaki Tani; Asahi Sato; Hikotaro Katsura; Yasuyuki Kamada; Ryuhei Aoyama; Yudai Sasaki; Masazumi Zaima

doi:10.12659/AJCR.931569

01 May 2021 : Case report Japan

Aggressive Resection of Malignant Paraaortic and Pelvic Tumors Accompanied by Arterial Reconstruction with Synthetic Arterial Graft

Unusual setting of medical care

Ryotaro Tani^1BDF, Tomohide Hori^1ABCDEF*, Hidekazu Yamamoto^1DF, Hideki Harada^1DF, Michihiro Yamamoto^1DF, Masahiro Yamada^1DF, Takefumi Yazawa^1DF, Ben Sasaki^1DF, Masaki Tani^1DF, Asahi Sato^1DF, Hikotaro Katsura^1DF, Yasuyuki Kamada^1DF, Ryuhei Aoyama^1DF, Yudai Sasaki^1DF, Masazumi Zaima^1ADF

DOI: 10.12659/AJCR.931569

Am J Case Rep 2021; 22:e931569

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Table 1. Patients’ profiles.

Case	Primary disease	TNM classification*	Resectability**	PPT		Aggressive resection accompanied with arterial reconstruction using SAG***	Neoadjuvant chemothe-rapy****
Case	Primary disease	TNM classification*	Resectability**	Timing of appearance	The greatest size [cm]		Neoadjuvant chemothe-rapy****
1	Ovarian carcinosarcoma (malignant mixed Müllerian tumor [homologous type])	T3 N0 M0 Stage IIIC	No	Metachronous	3.5	Secondary surgery	Yes
2	Endometrial cancer	T1b N1 M0 Stage IIIC	Yes	Synchronous	2.5	Initial surgery	No
3	Vaginal malignant melanoma	T4b N0 M0 Stage IVA	Yes	Metachronous	4.5	Secondary surgery	No
4	Endometrial cancer	T3b N2 M0 Stage IIIC	Yes	Synchronous	2.6	Initial surgery	No
5	Rectal cancer	T3 N2b M0 Stage IIIC	Yes	Metachronous	3.1	Secondary surgery	Yes
6	Sigmoid colon cancer	T3 N2a M0 Stage IIIB	Yes	Metachronous	4.1	Secondary surgery	Yes
7	Rectal cancer	T3 N0 M0 Stage IIA	Yes	Metachronous	2.9	Secondary surgery	No
^* TNM classification at the initial diagnosis; ^ resectability at the initial surgery; ^* timing of aggressive resection accompanied with arterial reconstruction using SAG for PPT; ^**** neoadjuvant chemotherapy before aggressive resection accompanied with arterial reconstruction using SAG. LN – lymph node; PPT – paraaortic and/or pelvic tumor; SAG – synthetic arterial graft; TNM – tumor-node-metastasis.

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Aggressive Resection of Malignant Paraaortic and Pelvic Tumors Accompanied by Arterial Reconstruction with Synthetic Arterial Graft

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