title: [Extrapelvic sentinel lymph nodes in cervical cancer: a review].
abstract: OBJECTIVE
  To determine the frequency of extrapelvic sentinel lymph node in patients with cervical cancer.
  
  
  METHODS
  We performed systematic searches (Medline, Pubmed; up to April 2010) to determine the route of lymphatic spread in cervical cancer and to review results on extrapelvic sentinel lymph nodes.
  
  
  RESULTS
  According to our search, 2.51% of detected sentinel lymph nodes in patients with cervical cancer were extrapelvic: 2% in the inguinal chain and 98% in the lower paraaortic area.
  
  
  CONCLUSIONS
  The unusual localizations of sentinel lymph nodes impose to the gynaecologic surgeons to be hardened in performing lymph node dissection in all the territories potentially affected.
authors.affiliation: Département de gynécologie, centre hospitalier régional universitaire de Tours, hôpital Bretonneau, 2 boulevard Tonnelé, Tours, France. l.ouldamer@chu-tours.fr
authors.forename: L
authors.initials: L
authors.lastname: Ouldamer
authors.forename: H
authors.initials: H
authors.lastname: Marret
authors.forename: O
authors.initials: O
authors.lastname: Acker
authors.forename: I
authors.initials: I
authors.lastname: Barillot
authors.forename: G
authors.initials: G
authors.lastname: Body
mesh_terms: D001011:Aorta; D005260:Female; D006119:Groin; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis / Q000473:pathology; D021701:Sentinel Lymph Node Biopsy; D002583:Uterine Cervical Neoplasms / Q000473:pathology*