THE VALUE OF LYMPHATIC MAPPING IN THE MANAGEMENT OF CERVICAL CANCER


TOPUZ S., Iyibozkurt A. C., Akhan S., Salihoglu Y., Bengisu E., Berkman S.

JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI, cilt.71, sa.4, ss.130-135, 2008 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 71 Sayı: 4
  • Basım Tarihi: 2008
  • Dergi Adı: JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.130-135
  • Anahtar Kelimeler: Lymphatic mapping, cervical cancer, management
  • İstanbul Üniversitesi Adresli: Evet

Özet

Cervical cancer is second most common cancer among women under the age of forty years in the world. Radical hysterectomy and pelvic lymphadenectomy are the mostly used procedures in early stages of cervical cancer. In 90% of the patients undergone radical hysterectomy pelvic lymph node metastasis were negative. Therefore pelvic lymphadenectomy do not add any benefit to the survival of the patients, on the contrary the morbidity may increase due to procedure. Currently no method is present to detect accurately preoperative lymph node metastasis. But in the past years sentinel lymph node studies were performed, to perform lymphadenectomy in node positive patients and to avoid lymphadenectomy due to complications in node negative patients. In this paper the value of lymphatic mapping in the management of cervical carcinoma is reviewed. Various investigators studied patent blue, lymphoscintigraphy and combine methods to evaluate the sentinel lymph node metastasis and best results were obtained by combine methods.