Fig. 10.

Extrapelvic node metastases.

A. Para-aortic node metastasis in a 45-year-old woman. CT scan shows an enlarged para-aortic lymph node (asterisk), which in this patient is the only site involved by recurrent disease.

B. Retroperitoneal lymph node metastasis in a 40-year-old woman. Extensive lymphadenopathy in the para-aortic region and around the celiac trunk is detected by CT. This lesion extends into the splenic hilum (arrows).

C. Inguinal node metastasis. CT scan indicates the presence of an enlarged right inguinal lymph node (arrow). Also note the presence of swelling and soft tissue edema in the right lower extremity (arrowheads) due to lymphatic and venous obstruction by metastatic lymphadenopathy.