01 May 2021: Articles
Aggressive Resection of Malignant Paraaortic and Pelvic Tumors Accompanied by Arterial Reconstruction with Synthetic Arterial Graft
Unusual setting of medical care
Ryotaro Tani * , Tomohide Hori ** , Hidekazu Yamamoto D , Hideki Harada D , Michihiro Yamamoto D , Masahiro Yamada D , Takefumi Yazawa D , Ben Sasaki D , Masaki Tani D , Asahi Sato D , Hikotaro Katsura D , Yasuyuki Kamada D , Ryuhei Aoyama D , Yudai Sasaki D , Masazumi Zaima ADOI: 10.12659/AJCR.931569
Am J Case Rep 2021; 22:e931569
Table 1. Patients’ profiles.
| Case | Primary disease | TNM classification* | Resectability** | PPT | Aggressive resection accompanied with arterial reconstruction using SAG*** | Neoadjuvant chemothe-rapy**** | |
|---|---|---|---|---|---|---|---|
| Timing of appearance | The greatest size [cm] | ||||||
| 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. | |||||||