Journal
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
Volume 22, Issue 6, Pages 1075-1078Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jmig.2015.05.002
Keywords
3-dimensional single-photon emission computed tomography; Endometrial cancer; Sentinel node biopsy
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In endometrial cancer, the histopathological analysis of the lymphatic nodes is essential to establish a correct prognosis and tailored adjuvant treatment. It is well-known that patients with early-stage endometrial cancer have a low incidence of nodal disease. In this group, systematic lymphadenectomy is not recommended. To improve the detection rate of sentinel nodes in clinical practice, new techniques are emerging like real-time 3-dimensional single-photon emission computed tomographic (SPECT) imaging. We report our experience using this innovative technique for intraoperative detection of sentinel nodes in endometrial cancer. The real-time 3-dimensional SPECT sentinel node biopsy seems to be feasible and accurate in endometrial cancer although further studies are needed to set the precision and predictive values compared with the current differed SPECT techniques and blue dye techniques. (C) 2015 AAGL. All rights reserved.
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