在此我們報告一位70歲婦女，罹患子宮頸癌，最初分期為FIGO IIB，過去曾經接受合併化學放射治療。由於血清中鱗狀上皮細胞癌抗原數值提高，正子攝影與腹部電腦斷層顯示主動脈淋巴腺轉移。病患接受強度調控放射治療，共62Gy/33次，同時合併口服化學治療(UFUR)。追蹤其電腦斷層與正子攝影發現仍有殘餘主動脈淋巴腺轉移。病患接受另一次強度調控放射治療共36Gy/20次。後續電腦斷層與正子攝影仍發現有殘餘病兆，於是病患接受手術清除主動脈淋巴腺。病理報告顯示為轉移性鱗狀上皮細胞癌。此病患、經過57個月門診追蹤檢查，目前並無任何復發或轉移跡象。

We herein reported a case of 70-year-old woman with squamous cell carcinoma of uterine cervix, initial FIGO stage IIB. She received concurrent chemoradiotherapy in the past. Elevated serum SCC-antigen level was noted and para-aortic lymph node metastasis was demonstrated by PET scan and abdominal CT scan. Salvage radiotherapy with 62 Gy/33 fractions, intensity modulated radiotherapy technique to the para-aortic lymph node and concomitant UFUR capsules were prescribed. Residual lymph node at the para-aortic area was noted by follow up CT scan and PET scan. Another course of radiotherapy using 36 Gy/20 fractions with intensity modulated radiotherapy technique to the residual lymph node was performed. However, a small residual lymph node was identified by follow up CT scan and PET scan. Salvage surgery with para-aortic lymph node dissection was done later. The pathology showed metastatic squamous cell carcinoma. The patient is still alive without local recurrence or distant metastasis at 57 months' follow up.