Sentinel node biopsy helps to diagnose spread of endometrial cancer. A case report

Bats, A.S.; Clément, D.; Le Frère-Belda, M.A.; Larousserie, F.; Collignon, M.A.; Hignette, C.; Lécuru, F.

European Journal of Gynaecological Oncology 27(4): 440-442

2006


ISSN/ISBN: 0392-2936
PMID: 17009649
Document Number: 604818
Background: The sentinel lymph node (SLN) could improve the staging of endometrial cancer.Case: In a patient with endometrial cancer, preoperative lymphoscintigraphy showed a highly radioactive SLN in the left external iliac chain and a radioactive SLN in the right external iliac chain and at the promontory. Intraoperative lymphatic mapping using blue dye and a hand-held gamma probe showed the same nodes, as well as a blue node near the vena cava. Selective removal of these nodes allowed detection of a micrometastasis in the left external iliac node. Pelvic node dissection was performed, and a micrometastasis was found in a left non sentinel iliac node.Conclusion: The presence in our patient of micrometastases in a SLN and in a non-SLN belonging to the same chain confirms the value of SLN detection for diagnosing tumor spread.

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