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133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer
133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer
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133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer
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133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer
133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer

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133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer
133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer
Journal Article

133 Dissection of an extraordinary location of sentinel lymph nodes and hysterectomy without manipulator in a patient with endometrial cancer

2023
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Overview
Introduction/BackgroundEndometrial cancer (EC) is the most common gynecological malignancy throughout the world. Sentinel lymph node biopsy with indocyanine green (ICG) has become more widely used and has been featured in recently published guidelines for EC.MethodologyA 45-year-old female with gravidity 0, parity 0, and body mass index 23.4 kg/m2 presented with complaints of abnormal uterine bleeding (spotting). Increased endometrial thickness was detected on transvaginal ultrasound (10 mm) in the postmenstrual period. Endometrioid type endometrial adenocancer with focal squamous differentiation International Federation of Gynecology and Obstetrics (FIGO) grade 1 was detected on endometrial biopsy.Laparoscopic bilateral sentinel lymph node dissection with indocyanine green (ICG), hysterectomy (without uterine manipulator) + bilateral salpingo-oophorectomy were performed (video).ResultsThe patient stayed in hospital for 1 day. The final pathology result showed a FIGO grade 1, endometrioid type endometrial adenocancer with focal squamous differentiation, as a 1.5x 1 cm tumorous mass invading less than one-half of the myometrium. Neither lymphovascular invasion nor sentinel lymph node metastasis was detected.ConclusionThis video article is the first video demonstration of bilateral isolated high pelvic, para-aortic sentinel lymph node dissection in endometrial cancer.DisclosuresNo major complications occurred during or after the surgery.
Publisher
Elsevier Inc,Elsevier Limited