T1 rectal mucinous adenocarcinoma with bilateral enlarged lateral lymph nodes and unilateral metastasis:A case report

作     者：Xian-Wei Liu Bing Zhou Xiao-Yu Wu Wen-Bing Yu Ren-Fang Zhu 

作者机构：Department of General SurgeryJiujiang No.1 People’s HospitalJiujiang 332000Jiangxi ProvinceChina Department of PathologyJiujiang No.1 People’s HospitalJiujiang 332000Jiangxi ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第33期

页      面：12404-12409页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：T1 rectal cancer Lateral lymph node metastasis Lateral lymph node dissection Brief literature review Endoscopic submucosal dissection Case report 

摘      要：BACKGROUND There are a few cases of lateral lymph node(LLN)metastasis(LLNM)of T1 rectal ***,LLNM is easily missed,especially in patients with early-stage rectal *** our knowledge,the possibility of bilateral LLNM before surgery has not been reported in previous *** SUMMARY A 36-year-old woman underwent endoscopic submucosal dissection at a local hospital owing to a clinical diagnosis of a rectal *** pathology report showed a diagnosis of T1 rectal mucinous *** was considered to have bilateral LLNM after the examination at our *** total mesorectal excision plus bilateral LLN dissection was performed and the pathological outcomes indicated unilateral *** patient received longcourse adjuvant chemoradiotherapy with no recurrence or metastasis observed during the 1-year follow-up *** T1 rectal cancer could lead to LLNM and possibly,bilateral ***,adequate clinical evaluation is essential for these patients.