Journal of Clinical Medicine | |
Update on Sentinel Lymph Node Biopsy in Surgical Staging of Endometrial Carcinoma | |
Yun Wang1  Brynhildur Eyjólfsdóttir1  Ane Gerda Z Eriksson1  Pernille Bjerre Trent1  Gunn Fallås Dahl1  Ben Davidson2  Anne Cathrine Staff2  | |
[1] Department of Gynecologic Oncology, Oslo University Hospital, Norwegian Radium Hospital, N-0310 Oslo, Norway;Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, N-0316 Oslo, Norway; | |
关键词: endometrial cancer; sentinel lymph node; lymphadenectomy; | |
DOI : 10.3390/jcm10143094 | |
来源: DOAJ |
【 摘 要 】
Sentinel lymph node (SLN) biopsy has emerged as an alternative staging approach in women with assumed early-stage endometrial carcinoma. Through image-guided surgery and pathologic ultrastaging, the SLN approach is introducing “precision medicine” to the surgical management of gynecologic cancers, providing a comprehensive evaluation of high-yield lymph nodes. This approach improves the surgeons’ ability to detect small-volume metastatic disease while reducing intraoperative and postoperative morbidity associated with lymphadenectomy. Although the majority of clinicians in Europe and the USA have recognized the value of SLN biopsy in endometrial carcinoma and introduced this as part of clinical practice, there is ongoing debate regarding its role in very low-risk patients as well as in patients at high risk of nodal metastasis. The significance of low-volume metastasis is not fully understood, and there is no consensus in regard to how the presence of isolated tumor cells should guide adjuvant therapy. Standardized protocols for histopathologic evaluation of SLNs are lacking. In this review article we aim to provide a framework for the introduction of SLN biopsy in endometrial cancer, give an updated overview of the existing literature, as well as discuss potential controversies and unanswered questions regarding this approach and future directions.
【 授权许可】
Unknown