Ⅰ期巴氏腺鳞状细胞癌患者同侧腹股沟淋巴结阴性,对侧腹股沟淋巴结复发:两则病例报道及淋巴清除术的适应证

摘要

Background. Modalities of inguinal lymphadenectomy in patients with early stage Bartholins gland squamous cell carcinoma (BGC) remain discussed. The aim of this paper is to report 2 patients with stage 1 BGC and negative ipsilateral groin nodes who developed a contralateral groin recurrence. Cases. Two patients treated for BGC and undergoing an ipsilateral groin nodes dissection (with absence of nodal involvement)presented contralateral groin recurrence. These recurrences were observed 14 and 3 months after the initial treatment in the first and second case. In the first case, the nodal recurrence was associated with a local vaginal recurrence. Conclusions. These 2 cases suggest that . cross . groin nodal involvement can occur, even in patients with early stage BGC. Bilateral groin dissection should be performed in patients with BGC.