open access

Vol 7, No 2 (2004)
Published online: 2004-06-02
Submitted: 2012-01-23
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Lymphoscintigraphy in radical vaginal trachelectomy and pelvic lymphadenectomy

Dariusz Wydra, Sambor Sawicki, Janusz Emerich, Grzegorz Romanowicz
Nucl. Med. Rev 2004;7(2):187-188.

open access

Vol 7, No 2 (2004)
Published online: 2004-06-02
Submitted: 2012-01-23

Abstract

BACKGROUND: Radical hysterectomy has traditionally been the treatment of choice for early invasive cervical carcinoma. Validation of the sentinel lymph node concept in gynaecology has led to less radical surgery. If preservation of fertility is an issue, then radical trachelectomy is an accepted approach.
CASE REPORT: A 29-year-old female presented with stage IB1 cervical cancer was treated by radical vaginal trachelectomy and pelvic lymphadenectomy as definitive treatment. Two obturator nodes visualised on lymphoscintigraphy and one parametrial not visualized on lymphoscintigraphy were “hot” and blue during surgery, and identified as sentinel nodes. All 18 nodes were non-metastatic.
CONCLUSION: Preoperative lymphoscintigraphy is a useful tool in the preoperative localisation of sentinel lymph nodes, and should be undertaken in cases of early invasive cervical carcinoma where a radical trachelectomy is performed to preserve fertility.

Abstract

BACKGROUND: Radical hysterectomy has traditionally been the treatment of choice for early invasive cervical carcinoma. Validation of the sentinel lymph node concept in gynaecology has led to less radical surgery. If preservation of fertility is an issue, then radical trachelectomy is an accepted approach.
CASE REPORT: A 29-year-old female presented with stage IB1 cervical cancer was treated by radical vaginal trachelectomy and pelvic lymphadenectomy as definitive treatment. Two obturator nodes visualised on lymphoscintigraphy and one parametrial not visualized on lymphoscintigraphy were “hot” and blue during surgery, and identified as sentinel nodes. All 18 nodes were non-metastatic.
CONCLUSION: Preoperative lymphoscintigraphy is a useful tool in the preoperative localisation of sentinel lymph nodes, and should be undertaken in cases of early invasive cervical carcinoma where a radical trachelectomy is performed to preserve fertility.
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Keywords

sentinel node; cervical cancer; lymphoscintigraphy; radical vaginal trachelectomy

About this article
Title

Lymphoscintigraphy in radical vaginal trachelectomy and pelvic lymphadenectomy

Journal

Nuclear Medicine Review

Issue

Vol 7, No 2 (2004)

Pages

187-188

Published online

2004-06-02

Bibliographic record

Nucl. Med. Rev 2004;7(2):187-188.

Keywords

sentinel node
cervical cancer
lymphoscintigraphy
radical vaginal trachelectomy

Authors

Dariusz Wydra
Sambor Sawicki
Janusz Emerich
Grzegorz Romanowicz

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