Altın Duygu, Taşkın Salih, Ortaç Fırat
Clinic of Gynecology and Obstetrics, Ordu University Training and Research Hospital, Ordu, Turkey
Department of Gynecology and Obstetrics, Ankara University Faculty of Medicine, Ankara, Turkey
J Turk Ger Gynecol Assoc. 2021 Aug 31;22(3):242-248. doi: 10.4274/jtgga.galenos.2021.2021.0025. Epub 2021 Jun 10.
Lymph node metastasis both increases disease stage and alters adjuvant treatment plans in gynecologic cancers. Since a minority of the patients have nodal metastasis, many patients unnecessarily undergo complete lymphadenectomy and are exposed to the subsequent morbidities. Sentinel lymph node (SLN) mapping is an alternative for evaluation of lymph nodes with lesser side effects. Although it is yet an experimental approach in ovarian cancer, it has been incorporated into guidelines for endometrial, cervical and vulvar cancers. We aimed to summarize the current situation of SLN mapping in gynecologic cancers.
淋巴结转移会增加妇科癌症的疾病分期并改变辅助治疗方案。由于少数患者存在淋巴结转移,许多患者不必要地接受了根治性淋巴结切除术,并因此面临后续的并发症。前哨淋巴结(SLN)定位是一种评估淋巴结的替代方法,副作用较小。尽管它在卵巢癌中仍是一种实验性方法,但已被纳入子宫内膜癌、宫颈癌和外阴癌的诊疗指南。我们旨在总结妇科癌症中SLN定位的现状。