title: Sentinel node mapping in high risk endometrial cancer after laparoscopic supracervical hysterectomy with morcellation.
abstract: BACKGROUND
  Occult endometrial cancer after supracervical hysterectomy is very uncommon. Even if optimal management of those rare cases is still unproven, to guide the need for further therapies, restaging should be recommended in this situation.
  
  
  METHODS
  We report of a 60-year old woman with occult high risk endometrial cancer after supracervical hysterectomy with morcellation. We describe the feasibility of laparoscopic intraoperative sentinel node identification with cervical stump removing to restage the suspicious early stage high risk endometrial cancer.
  
  
  CONCLUSIONS
  In high risk endometrial cancer surgical restaging is important, considering that 10-35% of cases can present pelvic nodal metastasis. To reduce the treatment related morbidity maintaining the benefit of surgical staging, with a negative preoperative PET/CT, we performed a laparoscopic SN mapping with cervical stump removing.
  
  
  CONCLUSIONS
  This report highlight the fact that SN mapping with cervical injection is a feasible and safe technique also without the uterine corpus after supracervical hysterectomy with morcellation.
authors: Gynecology & Obstetrics Department, University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy. Electronic address: alessandro.buda@fastwebnet.it.
authors: Alessandro
authors: A
authors: Buda
authors: Cuzzocrea
authors: C
authors: Marco
authors: Carlotta
authors: C
authors: Dolci
authors: Federica
authors: F
authors: Elisei
authors: Romina
authors: R
authors: Baldo
authors: Luca
authors: L
authors: Locatelli
authors: Rodolfo
authors: R
authors: Milani
authors: Cristina
authors: C
authors: Messa
keywords: High risk endometrial cancer; Morcellation; Sentinel node mapping; Supracervical hysterectomy
references: J Minim Invasive Gynecol. 2005 Nov-Dec;12(6):522-4
references: 16337581
references: Arch Gynecol Obstet. 2013 Mar;287(3):455-62
references: 23053310
references: Gynecol Oncol. 2011 Aug;122(2):275-80
references: 21570713
references: J Minim Invasive Gynecol. 2009 Sep-Oct;16(5):655-7
references: 19835816
references: Gynecol Oncol. 2009 Nov;115(2):231-5
references: 19695685
references: Lancet Oncol. 2011 May;12(5):469-76
references: 21489874
references: Int J Gynecol Cancer. 2012 Jun;22(5):830-5
references: 22617479
references: Int J Gynecol Cancer. 2008 Sep-Oct;18(5):1065-70
references: 17986239
references: Eur J Radiol. 2012 Nov;81(11):3511-7
references: 22305013
references: Gynecol Oncol. 2011 Aug;122(2):251-4
references: 21570109