case_images: PMC3826807_01
case_images: Tumour outgrowth, 2 cm in diameter.
case_images: can-7-373fig1.jpg
case_images: PMC3826807_01_can-7-373fig1.jpg
case_images: figure1
case_images: A 2-cm vascularised tumour outgrowth, indurated and bleeding, was found on investigation (Figure 1); colposcopy revealed an area of type 1 changes, with a vascularised lesion approximately 2 cm in diameter, extending from the cervical canal to the posterior labium; this was biopsied.
case_images: A histological investigation of clear cell adenocarcinoma.
case_images: can-7-373fig2.jpg
case_images: PMC3826807_01_can-7-373fig2.jpg
case_images: figure2
case_images: A histopathological analysis of the specimen showed it to be a clear cell adenocarcinoma (Figure 2) with a Ki67 index of 60%, low-to-moderate nuclear immunoreactivity for p53 and cytokeratin 7, and negative hormone receptors.
case_images: MRI: 25-mm cervical lesion with no infiltration into the parametria.
case_images: can-7-373fig3.jpg
case_images: PMC3826807_01_can-7-373fig3.jpg
case_images: figure3
case_images: Magnetic resonance imaging (MRI) was also carried out and revealed a cervical lesion 25 mm in diameter with no infiltration into the parametria (Figure 3).
case_images: Identification of SLN in the area of the right external iliac vessels.
case_images: can-7-373fig4.jpg
case_images: PMC3826807_01_can-7-373fig4.jpg
case_images: figure4
case_images: Tc-99m (10 MBq in 0.2 mL of saline solution in each injection) and lymphoscintigraphy prior to surgery. Subsequently, in the operating theatre, 4 mL of undiluted methylene blue was injected into the same points (1 mL at each point), and one lymph node was identified in the external iliac vessels on either side. These were removed laparoscopically; intraoperative analysis found them to be negative (Figure 4).
case_images: The surgical specimen including the cervix and parametria following the RVT.
case_images: can-7-373fig5.jpg
case_images: PMC3826807_01_can-7-373fig5.jpg
case_images: figure5
case_images: Next, an RVT was carried out, with no complications (Figure 5).