title: Sentinel node biopsy helps to diagnose spread of endometrial cancer. A case report.
abstract: BACKGROUND
  The sentinel lymph node (SLN) could improve the staging of endometrial cancer.
  
  
  METHODS
  In a patient with endometrial cancer, preoperative lymphoscintigraphy showed a highly radioactive SLN in the left external iliac chain and a radioactive SLN in the right external iliac chain and at the promontory. Intraoperative lymphatic mapping using blue dye and a hand-held gamma probe showed the same nodes, as well as a blue node near the vena cava. Selective removal of these nodes allowed detection of a micrometastasis in the left external iliac node. Pelvic node dissection was performed, and a micrometastasis was found in a left non sentinel iliac node.
  
  
  CONCLUSIONS
  The presence in our patient of micrometastases in a SLN and in a non-SLN belonging to the same chain confirms the value of SLN detection for diagnosing tumor spread.
authors.affiliation: Gynecologic Oncology Department, Georges Pompidou European Hospital, and University of Paris-Descartes, Faculty of de Medicine, Paris, France.
authors.forename: A S
authors.initials: AS
authors.lastname: Bats
authors.forename: D
authors.initials: D
authors.lastname: Clément
authors.forename: M A
authors.initials: MA
authors.lastname: Le Frère-Belda
authors.forename: F
authors.initials: F
authors.lastname: Larousserie
authors.forename: M A
authors.initials: MA
authors.lastname: Collignon
authors.forename: C
authors.initials: C
authors.lastname: Hignette
authors.forename: F
authors.initials: F
authors.lastname: Lécuru
mesh_terms: D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D021701:Sentinel Lymph Node Biopsy