[Sentinel lymph node procedure and uterine cancers].
Lymph node metastases in cervical and endometrial cancer are major prognostic factors. Lymph-nodal involvement determines adjuvant therapy. As imagery is not reliable to diagnose lymph node status, pelvic +/- para-aortic lymphadenectomy remains the gold standard. These surgical procedures are, however, responsible for specific morbidity: lymphocele and lymphedema. Sentinel lymph node procedure could avoid lymphadenectomy and their complications in cervical and endometrial cancer with good negative predictive values. We present actual indications, procedure and results of sentinel lymph node procedures in cervical and endometrial cancer.
Service de chirurgie gynécologique et cancérologique, hôpital européen Georges-Pompidou, AP-HP, 20 rue Leblanc, Paris cedex 15, France. cyrillehuchon@yahoo.fr
C
C
Huchon
A-S
AS
Bats
A
A
Achouri
M-A
MA
Lefrère-Belda
A
A
Buénerd
C
C
Bensaid
M
M
Farragi
P
P
Mathevet
F
F
Lécuru
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000601:surgery; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008209:Lymphedema / Q000209:etiology; D008210:Lymphocele / Q000209:etiology; D009367:Neoplasm Staging / Q000379:methods; D011379:Prognosis; D021701:Sentinel Lymph Node Biopsy / Q000009:adverse effects*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000601:surgery