Surgical Resection with Neoadjuvant Chemotherapy for Locoregionally Recurrent Appendiceal Cancer Invading the External Iliac Vessels

Figure 4

A femoro-femoral arterial bypass was performed, followed by an en bloc tumor resection. (a) The fixed solid tumor () at the right inguinal fossa. The tumor involved the external iliac artery, external iliac vein (arrowhead), ileum (arrow), and right obturator lymph nodes. The broken lines with blue color indicate the proximal and distal resection margins of the bowel. The broken lines with black-colored circle indicate the resection margin of the vessels. (b) Surgical specimen of the resection tumor () that invaded, including both the external iliac artery and vein (arrowhead) as well as the small intestine.

(a)

(b)