Sentinel node detection in a patient with recurrent endometrial cancer initially treated by hysterectomy and radiotherapy

• DOI: 10.1111/j.1048-891x.2004.14422.x
• Publication Date: 2004-08-04T09:17:23Z
• Authors: P. Van Dam; H. Sonnemans; P.-J. Van Dam; D. Smet; L. Verkinderen; L. Y. Dirix
• Keywords: Vaginal vault; Lymphadenectomy

This is the first article reporting sentinel node identification in a patient with endometrial cancer recurring vagina. A 79-year-old woman presented midvaginal recurrence of stage IB, grade II endometroid carcinoma that had been treated 3 years earlier by total abdominal hysterectomy, bilateral salpingoophorectomy, and pelvic lymph sampling, followed adjuvant brachytherapy to vaginal vault. staging examination under anesthetic was performed. Preoperatively, 60-MBq technetium-labeled nannocolloid injected mucosa at 3, 6, 9, 12 o'clock just adjacent tumor recurrence. Three nodes were detected, respectively, left obturator fossa (two) right external iliac region, using laparoscopic probe (Navigator) removed for pathological assessment. As they proved be negative, underwent vaginectomy, parametrectomy lymphadenectomy. The completely removed, all negative. accuracy patients recurrent gynecological tumors needs further evaluation. unique case shows detection possible after previous radiotherapy surgery hopes stimulate research this field.