Sentinel Node biopsy for treatment of endometrial cancer: current perspectives

Papadia, Andrea; Gasparri, Maria Luisa; Wang, Junjie; Radan, Anda-Petronela; Mueller, Michael (2019). Sentinel Node biopsy for treatment of endometrial cancer: current perspectives. Minerva ginecologica, 71(1), pp. 25-35. Edizioni Minerva Medica 10.23736/S0026-4784.18.04337-X

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The risk of lymph nodal metastases in endometrial cancer varies greatly according to the characteristics of the primary tumor. Surgical staging with a systematic lymphadenectomy in endometrial cancer is debated since three decades. On one hand, it provides important pathological information on the spread of the tumor allowing for an appropriate decision making on adjuvant treatment but on the other side it is characterized by a non negligible short and long term morbidity. In the past decades, various efforts have been made in the attempt to apply the concept of the sentinel lymph node mapping in endometrial cancer. The sentinel lymph node mapping has the potential to provide the necessary pathological lymph nodal information at a reasonable cost in terms of morbidity. In this review the most relevant aspects of the sentinel lymph node mapping in endometrial cancer are summarized. Furthermore, the performance in terms of false negative rates and detection rates, the clinical value of the pathological ultrastaging, its clinical applicability in different scenarios including patients preoperatively considered to be at low or at high risk are discussed. Oncological outcome of the patients who have been submitted to a sentinel lymph node mapping as compared to a full lymhadenectomy are presented as well as technical aspects to improve the performance of the surgical technique.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Papadia, Andrea; Radan, Anda-Petronela and Mueller, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0026-4784

Publisher:

Edizioni Minerva Medica

Language:

English

Submitter:

Monika Zehr

Date Deposited:

15 Apr 2019 16:18

Last Modified:

15 Apr 2019 16:18

Publisher DOI:

10.23736/S0026-4784.18.04337-X

PubMed ID:

30318882

URI:

https://boris.unibe.ch/id/eprint/125851

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