Pelvic lymphocysts after radical hysterectomy and lymphadenectomy

Five cases (5.5%) of lymphocysts were diagnosed and treated, among 80 type III modified radical hysterectomies performed for cervical cancer St. Ia2-IIa, in the last 6 years. Identification was initially made by palpation and confirmed by CT or US, in 4/5 cases in the first 2 postoperative months. P...

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Bibliographic Details
Published in:	European journal of gynaecological oncology Vol. 15; no. 6; p. 449
Main Authors:	Fotiou, S K, Tserkezoglou, A J, Steinhauer, G, Papailiou, J, Tavernarakis, A
Format:	Journal Article
Language:	English
Published:	Italy 1994
Subjects:	Adult Aged Female Humans Hysterectomy - adverse effects Lymph Node Excision - adverse effects Lymphocele - diagnosis Lymphocele - etiology Lymphocele - therapy Middle Aged Radiotherapy, Adjuvant Uterine Cervical Neoplasms - radiotherapy Uterine Cervical Neoplasms - surgery
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Summary:	Five cases (5.5%) of lymphocysts were diagnosed and treated, among 80 type III modified radical hysterectomies performed for cervical cancer St. Ia2-IIa, in the last 6 years. Identification was initially made by palpation and confirmed by CT or US, in 4/5 cases in the first 2 postoperative months. Pelvic pain, fever and pressure symptoms were the most common clinical findings. A conservative approach was successful in 4/5 cases. Spontaneous regression was observed in one, while needle aspiration under radiologic guidance with (1/3) or without (2/3) tube insertion was applied in the rest. Conservative treatment failed in the last case presenting with a 12 cm cyst. An intestinal fistula developed, necessitating partial resection of the ileus and marsipulization. The complicated course of this patient's disease may indicate that a more aggressive treatment is warranted for large persisting cysts located in the irradiated field.
ISSN:	0392-2936