Sentinel lymph node biopsy in vulvar cancer: status, level of knowledge, and counseling in outpatient setting

Archives of Gynecology and Obstetrics
Marlene RöttgerRüdiger Klapdor

Abstract

Evaluating the counseling of patients with vulvar cancer in outpatient setting regarding the application of sentinel lymph node dissection (SLND), the selection of hospitals for further treatment, and level of knowledge. A questionnaire containing 29 questions about SLND in vulvar cancer was sent to gynecologists in Lower Saxony. The questionnaire contained multiple choice questions and open questions. The study was approved by the local ethics committee. The median age of the 86 respondents was 54 (26-66) years. Most participants (83.1%) reported to only treat one to five patients with vulvar cancer per year. Interestingly, 70.5% of the gynecologists send their patients to university hospitals and 64.1% to hospitals offering maximum care, respectively. Of all, 32.7% replied that SLND was performed rarely or never in their patients. The gynecologists answered that only 36.7% of the patients are well informed about advantages and possible disadvantages of SLND. Most (84%) felt responsible to counsel patients on treatment decisions independently from or additionally to the hospital. Of all, 72% replied that they are not completely sure about the exact recurrence rates after SLND. Of notice, 66% believe that SLND for vulvar cancer...Continue Reading

References

Feb 19, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ate G J Van der ZeeWim J Sluiter
Jan 24, 2012·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Linn WoelberSven Mahner
Jul 19, 2013·Gynecologic Oncology·Angela Wills, Andreas Obermair
Mar 26, 2014·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Rhonda FarrellNeville F Hacker
Jan 27, 2015·Journal of the National Cancer Institute·Sven MahnerUNKNOWN AGO-CaRE 1 investigators
Nov 1, 2007·Psychological Science in the Public Interest : a Journal of the American Psychological Society·Gerd GigerenzerSteven Woloshin
Nov 22, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Rüdiger KlapdorPeter Hillemanns
Dec 31, 2016·Archives of Gynecology and Obstetrics·Rüdiger KlapdorPeter Hillemanns
Nov 1, 2018·The New England Journal of Medicine·Pedro T RamirezAndreas Obermair

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