Cases Presentation:
A 53 years old woman, body mass index of 27.2, gravida 1, parity 1, and had a previous cesarean section. Patient applied to our clinic for postmenopausal bleeding. Endometrial sampling result was endometrioid type endometrium cancer, histologic grade 2, and nuclear grade 3.
Preoperative MR imaging, it was reported that myometrial invasion was more than 1/2 and there was a 3,5cm tumor in the uterine cavity. The patient underwent laparotomy, hysterectomy, bilateral salpingo-ooferectomy, infracolic omentectomy, bilateral pelvic-paraaortic lymph node dissection. During the paraortic lymph node dissection, APRA was detected from bifurcation of abdominal aorta, beginning of the right common iliac artery to right kidney (Figure 1). The operation is completed without any vascular complications.
The other case is, a 59 years old woman, body mass index of 30, gravida 1, parity 1, and she had not previous operation. She applied to the clinic for postmenopausal bleeding. Transvaginal ultrasonography showed a hematometra of 10 cm in the uterine cavity. Endometrial sampling result was endometrioid type endometrium cancer, histologic grade 1, nuclear grade 2. Preoperative MR imaging, it was reported that myometrial invasion was more than 1/2. The patient underwent laparotomy, hysterectomy, bilateral salpingo-ooferectomy, infracolic omentectomy, bilateral pelvic-paraaortic lymph node dissection. During the paraortic lymph node dissection, the left APRA was observed approximately 1.5 cm above the inferior mesenteric artery. The operation is completed without any complications.