Sentinel lymphatic mapping for gynecologic malignancies

被引:4
|
作者
Hari, Anjali Y. [1 ,2 ]
Tewari, Krishnansu S. [1 ]
机构
[1] Univ Calif Irvine, Div Gynecol Oncol, Orange, CA 92868 USA
[2] Univ Calif Irvine, Gynecol Oncol, 101 The City Dr, Orange, CA 92868 USA
关键词
lymphadenectomy; lymphoscintigraphy; sentinel lymph node mapping; SQUAMOUS-CELL CARCINOMA; STAGE CERVICAL-CANCER; ENDOMETRIAL CANCER; NODE BIOPSY; RADICAL HYSTERECTOMY; PROSPECTIVE MULTICENTER; PELVIC LYMPHADENECTOMY; PARADIGM SHIFT; BLUE-DYE; RISK;
D O I
10.1097/GCO.0000000000000841
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Purpose of reviewTo summarize the latest data in Gynecologic Oncology for the use of sentinel lymphatic mapping in vulvar, uterine, and cervical cancers.Recent findingsTo decrease morbidity and improve detection of lymphatic metastasis, lymphatic mapping with sentinel lymph node biopsy is emerging as standard of care over conventional systemic lymphadenectomy in the surgical management of gynecologic malignancies.Sentinel lymph node mapping with biopsy is one of the most significant advances in cancer surgery. The presence of nodal metastasis is not only a prognostic factor for recurrence and survival in patients with gynecologic malignancies, but also guides assessment for adjuvant treatment. This review article discusses the most recent clinical updates in sentinel lymph node mapping, dissection, and management in vulvar cancer, endometrial cancer, and cervical cancer.
引用
收藏
页码:43 / 53
页数:11
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