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Laparoscopic sentinel node mapping complicating endometrial cancer. Report of three cases and systematic review of the literature


Obstetrics & Gynecology International Journal
Sofoudis Chrisostomos,1 Syrios Konstantinos,2 Oikonomidis Miltiadis,2 Betas Panagiotis,2 Zioris Konstantinos2

Abstract

Endometrial cancer represents the second most frequent malignant entity among gynecologic malignancies.
Many predisposition factors reflect and affect the chronical outcome of the lesion.
Age of the patient, obesity, postmenopausal vaginal bleeding among with endometrial hyperplasia, histologic type, grading, staging, vascular or lymph node penetration consist factors with direct depiction concerning the therapeutic mapping.
Sentinel node consists the first regional lymph node infiltration, indicating local or external spread of the lesion.
In order to explore and investigate potential infiltration or metastatic capability of the lesion, sentinel mode infiltration represents optimal solution.
According to current bibliography, sentinel node infiltration depicts increased sensitivity and specificity concerning surgical or conservative therapeutic management.
Aim of our study represents assiduous decoding of sentinel node infiltration and potential metastatic pathways, with ultimate scope the increased optimal survival and quality of life of the patient.

Keywords

sentinel node, endometrial cancer, staging, grading

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