Montero Macias R, Balaya V, Bonsang-Kitzis H, Deloménie M, Gosset M, Mimouni M, Simon V, Lecurieux-Lafayette C, Larouzee E, Ngô C, Bats As, Lécuru F
Gynecologic and Breast Oncologic Surgery Department, European Georges Pompidou Hospital, 20, rue Leblanc, 75908 Paris Cedex 15, France.
Gynecologic and Breast Oncologic Surgery Department, European Georges Pompidou Hospital, 20, rue Leblanc, 75908 Paris Cedex 15, France; Paris Descartes University, Sorbonne Paris Cité, Faculty of Medicine, Paris, France.
J Gynecol Obstet Hum Reprod. 2019 Dec;48(10):887-889. doi: 10.1016/j.jogoh.2018.11.007. Epub 2018 Nov 23.
We here describe a case report of a positive precaval sentinel lymph node with negative pelvic sentinel lymph node in a patient with endometrial cancer. A 45-years-old woman was diagnosed with a grade 2 endometrioid carcinoma of the endometrium. She was treated with a hysterectomy and bilateral salpingo-oophorectomy, associated with dissection of sentinel lymph nodes (SLNs). We detected bilateral external and common bilateral iliac nodes and one precaval node. At pathological examination the pelvic nodes were non-metastatic, but the precaval node was positive. In this patient, sentinel node biopsy improved risk-assessment and adjuvant treatment.
我们在此报告一例子宫内膜癌患者前哨淋巴结阳性而盆腔前哨淋巴结阴性的病例。一名45岁女性被诊断为子宫内膜2级子宫内膜样癌。她接受了子宫切除术和双侧输卵管卵巢切除术，并进行了前哨淋巴结（SLN）清扫。我们检测到双侧腹股沟深淋巴结及双侧髂总淋巴结和一个前腔静脉旁淋巴结。病理检查显示盆腔淋巴结无转移，但前腔静脉旁淋巴结阳性。在该患者中，前哨淋巴结活检改善了风险评估和辅助治疗。
