Intraoperative sentinel lymph node detection by vital dye through laparoscopy or laparotomy in early endometrial cancer

Journal of Surgical Oncology
Valerio MaisGian Benedetto Melis

Abstract

Recent studies reported the feasibility of intraoperative lymphatic mapping in women with endometrial cancer but none of these studies compared the sentinel lymph nodes (SLNs) detection rates obtainable through laparoscopy or laparotomy. The purpose of this study was to address this issue. Thirty-four patients with clinical stage I-II endometrial cancer were enrolled in this prospective comparative trial. Four milliliters of Patent Blue Violet were injected into the cervix after the induction of general anesthesia. The assessment of SLNs was done in 17 patients through laparoscopy and in 17 patients through laparotomy as first step of systematic pelvic lymphadenectomy. Both SLNs and non-SLNs were evaluated for micrometastases. The SLNs detection rate was significantly higher (82%) for laparoscopy than for laparotomy (41%; P = 0.008). Pelvic lymph node metastases were present in 6 out of 34 patients (18%) but only 3 (50%) of these patients were correctly identified. SLNs detection rate is significantly higher through laparoscopy than through laparotomy after vital dye pericervical injection but intraoperative vital dye pericervical injection is not reliable as part of standard care for predicting lymphatic spread in women with e...Continue Reading

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Citations

Feb 9, 2012·International Journal of Surgical Oncology·Nikki L Neubauer, John R Lurain
Mar 13, 2014·European Journal of Nuclear Medicine and Molecular Imaging·Francesco GiammarileSergi Vidal Sicart
Sep 29, 2011·Gynecologic Oncology·Sokbom KangSang-Yoon Park
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Dec 3, 2013·Gynecologic Oncology·Michael FrumovitzCharles F Levenback
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Mar 7, 2014·Obstetrics & Gynecology Science·Yukio Sonoda
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Apr 17, 2020·Current Topics in Medicinal Chemistry·Esra Küpeli AkkolHaroon Khan
Jun 10, 2021·The Cochrane Database of Systematic Reviews·Hans NagarJo Morrison

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