Sentinel node biopsy helps to diagnose spread of endometrial cancer. A case report.
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.
Bats
A S
AS
Gynecologic Oncology Department, Georges Pompidou European Hospital, and University of Paris-Descartes, Faculty of de Medicine, Paris, France.
Clément
D
D
Le Frère-Belda
M A
MA
Larousserie
F
F
Collignon
M A
MA
Hignette
C
C
Lécuru
F
F
D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D021701:Sentinel Lymph Node Biopsy