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Obstetrics & Gynecology 1972;40:45-49
© 1972 by The American College of Obstetricians and Gynecologists
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Neural Manifestations of Para-aortic Node Metastases in Carcinoma of the Cervix

KENNETH M. NELSON, MD, WILLIAM J. HEWETT, MD, FACOG and JUSTIN T. CHUANG, MD

From the Departments of Neurosurgery and Gynecology, Roswell Park Memorial Institute, 666 Elm Street, Buffalo, NY 14203.

Abstract

Pain and sensory changes in the anterior thigh in patients suffering from carcinoma of the cervix indicated that the disease had spread above the pelvis into the retroperitoneal space. In the absence of positive findings on pelvic and abdominal examination, localization was suggested by neurologic examination, supported by radiologic contrast studies, and confirmed by laparotomy or autopsy in 4 patients. The implications of localization for effective therapy are discussed.






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