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Metastatic retro-crural lymph nodes from transitional cell carcinoma of bladder successfully treated with single session cryoablation.


ABSTRACT: Bladder cancer (BC) is a relatively common tumor, with a male preponderance. High-grade muscle invasive bladder cancer (MIBC) has a very high incidence of pelvic lymph node metastasis at presentation. Involvement of the retro-crural lymph nodes, although has been described in other pelvic tumors, is very uncommon for BC. Cryoablation in the retro-crural region is extremely challenging due to the proximity to the critical structures like inferior venacava and aorta and has not been extensively reported. We describe a 56-year old male patient with MIBC who underwent extensive treatments including radical cystoprostatectomy, chemoradiation and immunotherapy, ultimately with localized disease in the retro-crural region. Single session cryoablation of these lymph nodes was performed with a curative intent yielding a positive response that has persisted for more than 2 years.

SUBMITTER: Marjara J 

PROVIDER: S-EPMC7292893 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Metastatic retro-crural lymph nodes from transitional cell carcinoma of bladder successfully treated with single session cryoablation.

Marjara Jasraj J   Hilli Jaffar J   Davis Ryan M RM   Bhat Ambarish P AP  

Radiology case reports 20200611 8


Bladder cancer (BC) is a relatively common tumor, with a male preponderance. High-grade muscle invasive bladder cancer (MIBC) has a very high incidence of pelvic lymph node metastasis at presentation. Involvement of the retro-crural lymph nodes, although has been described in other pelvic tumors, is very uncommon for BC. Cryoablation in the retro-crural region is extremely challenging due to the proximity to the critical structures like inferior venacava and aorta and has not been extensively re  ...[more]

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