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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 13/2015

01-12-2015 | Gynecologic Oncology

Improving Sentinel Lymph Node Detection in Patients with Cervical Cancer

Author: Mario M. Leitao Jr., MD

Published in: Annals of Surgical Oncology | Issue 13/2015

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Excerpt

Comprehensive lymphadenectomy for uterine, cervical, and vulvar malignancies has been a mainstay in the upfront surgical treatment of these cancers. The number of lymph nodes retrieved has been a source of pride among gynecologic oncologists, and many have reported that this number has some therapeutic value. However, limited data support a therapeutic benefit to comprehensive lymphadenectomy. In fact, recent randomized trials in uterine cancer reported a lack of survival benefit.1 …
Literature
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ASTEC Study Group, Kitchener H, Swart AM, Qian Q, Amos C, Parmar MK. Efficacy of systematic pelvic lymphadenectomy in endometrial cancer (MRC ASTEC trial): a randomized study. Lancet. 2009;373:125–36.CrossRef
2.
Yost KJ, Cheville AL, Al-Hilli MM, et al. Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life. Obstet Gynecol. 2014;124:307–15.PubMedCentralCrossRefPubMed
3.
Leitao Jr MM, Khoury-Collado F, Gardner G, et al. Impact of incorporating an algorithm that utilizes sentinel lymph node mapping during minimally invasive procedures on the detection of stage IIIC endometrial cancer. Gynecol Oncol. 2013;129:38–41.CrossRefPubMed
4.
Jewell EL, Huang JJ, Abu-Rustum NR, et al. Detection of sentinel lymph nodes in minimally invasive surgery using indocyanine green and near-infrared fluorescence imaging for uterine and cervical malignancies. Gynecol Oncol. 2014;133:274–7.CrossRefPubMed
Metadata
Title
Improving Sentinel Lymph Node Detection in Patients with Cervical Cancer
Author
Mario M. Leitao Jr., MD
Publication date
01-12-2015
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue 13/2015
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-015-4725-7

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