title: Symptomatic Lymphocele Formation After Sentinel Lymph Node Biopsy for Early Stage Cervical Cancer.
abstract: In early stage cervical cancer, nodal status is the most important prognostic factor, and execution of retroperitoneal lymphadenectomy is currently an integral part of surgical therapy. Sentinel lymph node biopsy has been progressively incorporated with surgical therapy and could reduce morbidity. However, the current incidence of complications exclusively related to the procedure is unknown. We report on a 29-year-old woman affected by cervical cancer (Fédération Internationale de Gynécologie et d'Obstétrique Stage 1b1), who underwent sentinel lymph node biopsy in combination with radical vaginal trachelectomy, and who later developed a symptomatic pelvic lymphocele that required surgical therapy. Conservative procedures in the pelvic lymph nodes are not free of complications, especially with regard to the formation of symptomatic lymphoceles. This report brings to light an important discussion about the exact magnitude of the complications associated with the procedure.
authors.affiliation: Department of Advanced Operative and Oncologic Gynecology, Asklepios Hospital Hamburg, Hamburg, Germany; Department of Obstetrics and Gynecology, Akdeniz University, Antalya, Turkey.
authors.forename: Nasuh Utku
authors.initials: NU
authors.lastname: Dogan
authors.affiliation: Department of Advanced Operative and Oncologic Gynecology, Asklepios Hospital Hamburg, Hamburg, Germany.
authors.forename: Nigar
authors.initials: N
authors.lastname: Garagozova
authors.affiliation: Department of Advanced Operative and Oncologic Gynecology, Asklepios Hospital Hamburg, Hamburg, Germany.
authors.forename: Tatiana
authors.initials: T
authors.lastname: Pfiffer
authors.affiliation: Department of Advanced Operative and Oncologic Gynecology, Asklepios Hospital Hamburg, Hamburg, Germany.
authors.forename: Anna
authors.initials: A
authors.lastname: Beier
authors.affiliation: Department of Advanced Operative and Oncologic Gynecology, Asklepios Hospital Hamburg, Hamburg, Germany.
authors.forename: Christhardt
authors.initials: C
authors.lastname: Köhler
authors.affiliation: Department of Advanced Operative and Oncologic Gynecology, Asklepios Hospital Hamburg, Hamburg, Germany. Electronic address: gdifavero@hotmail.com.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Favero
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis / Q000473:pathology*; D008210:Lymphocele / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D010388:Pelvis / Q000601:surgery; D011379:Prognosis; D021701:Sentinel Lymph Node Biopsy / Q000379:methods; D015607:Stents; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: Cervical cancer; Laparoscopic treatment; Lymphocele; Sentinel lymph node biopsy