Sentinel node mapping in endometrial cancer: Tips and tricks to improve bilateral detection rate. The sentitricks study, a monocentric experience
| Autor: | Vito Andrea Capozzi, Armano Giulia, Chiantera Vito, Cianciolo Alessandra, Berretta Roberto, Gambino Giulia, Ceni Valentina, Sozzi Giulio |
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| Rok vydání: | 2020 |
| Předmět: |
Indocyanine Green
medicine.medical_specialty Sentinel lymph node lcsh:Gynecology and obstetrics chemistry.chemical_compound Endometrial cancer Bilateral detection medicine Humans Coloring Agents Lymph node Cervix lcsh:RG1-991 Aged business.industry Sentinel Lymph Node Biopsy Obstetrics and Gynecology Sentinel node Middle Aged medicine.disease Endometrial Neoplasms Anterior cervical lip medicine.anatomical_structure chemistry Lymphatic Metastasis Tips and tricks Female Radiology Detection rate Sentinel Lymph Node business Indocyaine green Indocyanine green |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 1, Pp 31-35 (2021) |
| ISSN: | 1875-6263 |
| Popis: | Objective The objective of the study is to show some small tricks for bilateral sentinel lymph node (SLN) uptake in endometrial cancer. Materials and methods Each step of the sentinel lymph node technique was analyzed. The cervix was exposed through the use of vaginal valves and by Martin pliers stapling of the anterior cervical lip. Fifty mg Indocyanine Green (ICG) powder was diluted with 10 ml of physiological solution. The spinal needle was marked at 15 mm with a steri-strip. After 20 min from the administration, in case of no LNS identification, an additional 1 ml in the non-detected side was administered in the superficial cervical area. All cervical injections were made by a single (BR) surgeon experienced in oncological gynecology. Results Fifty patients undergoing sentinel lymph node research for endometrial cancer. The uptake of at least one side of the sentinel node was 98% (49 cases). Forty-six (92%) patients had bilateral lymph node uptake and 3 patients (6%) had unilateral uptake. Only one patient with pelvic and metastatic aortic lymph nodes had no sentinel nodal uptake. Conclusions Little tricks can increase the bilateral uptake of the SLN up to 92%. The reinjection could be a key element for the success of the SLN technique. Experienced surgeons could certainly play a fundamental role in raising bilateral SLN detection. Further prospective randomized studies are needed to achieve the best SLN infiltration strategy. |
| Databáze: | OpenAIRE |
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