LAPAROSCOPIC APPROACH TO OBTURATOR LYMPH NODE POSITIVITY IN POSITRON EMISSION TOMOGRAPHY ASSISTED COMPUTERIZED TOMOGRAPHY (PET-CT) OF A PREOPERATIVE STAGE 1B1 CERVICAL CANCER PATIENT

Abstract

Objektive: Although positron emission tomography assisted computerized tomography (PET-CT) is used to evaluate staging, treatment planning and prognosis in cervical cancer, its definite role is not established. It is especially used to rule out lymph node and distant metastasis in early stage cervical cancer patients who are candidates for radical hysterectomy. Recent literature suggests that by doing so unnecessary surgery, in patients who will ultimately require radiotherapy, would be prevented. We are presenting a case of cervical cancer patient preoperatively staged as 1B1 but revealed a lymph node positivity in PET-CT scan in left obturator fossa. She had a laparoscopic lymph node dissection and frozen section.