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Research ArticleResearch Article

Sentinel Lymph Node Identification in Endometrial Cancer

Bin Li, Lingying Wu, Xiaoguang Li, Haizhen Lu, Ping Bai, Shumin Li, Wenhua Zhang and Jüzhen Gao
Clinical Oncology and Cancer Research April 2009, 6 (2) 124-128; DOI: https://doi.org/10.1007/s11805-009-0124-9
Bin Li
1Department of Gynecological Oncology;
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  • For correspondence: lb87960440{at}vip.sina.com
Lingying Wu
1Department of Gynecological Oncology;
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Xiaoguang Li
1 Department of Gynecological Oncology;
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Haizhen Lu
2 Department of Pathology; Cancer Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100021, China.
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Ping Bai
1 Department of Gynecological Oncology;
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Shumin Li
1 Department of Gynecological Oncology;
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Wenhua Zhang
1 Department of Gynecological Oncology;
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Jüzhen Gao
1 Department of Gynecological Oncology;
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  • Methylene blue dye was subserously injected during the operation. In the figure the arrow on surface of the womb denotes the blue flash (blue stain) that emerged in the vessels around the injection site.
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    Fig. 1.

    Methylene blue dye was subserously injected during the operation. In the figure the arrow on surface of the womb denotes the blue flash (blue stain) that emerged in the vessels around the injection site.

  • After the MB injection, apparent blue-stained lymphatic vessels could be seen in the parametrial tissues beside the uterine artery, and the extending upwards along the course of the iliac blood vessels, see the arrow 1. The arrow 2 denotes the blue-stained SLN.
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    Fig. 2.

    After the MB injection, apparent blue-stained lymphatic vessels could be seen in the parametrial tissues beside the uterine artery, and the extending upwards along the course of the iliac blood vessels, see the arrow 1. The arrow 2 denotes the blue-stained SLN.

  • Metastasized cancer cell groups can be seen in the SLN
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    Fig. 3.

    Metastasized cancer cell groups can be seen in the SLN

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    Table 1.

    Preoperative Pathological Staging

    StageNo. of CasesPercentage (%)
    I1961.3
    II1238.7
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    Table 2.

    Postoperative Surgical Pathological Staging

    StageNo. of CasesPercentage (%)
    IA516.1
    IB825.2
    IC412.9
    IIA516.1
    IIB412.9
    IIIA26.5
    IIIC39.7
    • All cases underwent pelvic and abdominal CT or MRI examinations before surgery, but no enlarged lymph nodes were found.

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Cancer Biology and Medicine: 6 (2)
Clinical Oncology and Cancer Research
Vol. 6, Issue 2
1 Apr 2009
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Sentinel Lymph Node Identification in Endometrial Cancer
Bin Li, Lingying Wu, Xiaoguang Li, Haizhen Lu, Ping Bai, Shumin Li, Wenhua Zhang, Jüzhen Gao
Clinical Oncology and Cancer Research Apr 2009, 6 (2) 124-128; DOI: 10.1007/s11805-009-0124-9

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Sentinel Lymph Node Identification in Endometrial Cancer
Bin Li, Lingying Wu, Xiaoguang Li, Haizhen Lu, Ping Bai, Shumin Li, Wenhua Zhang, Jüzhen Gao
Clinical Oncology and Cancer Research Apr 2009, 6 (2) 124-128; DOI: 10.1007/s11805-009-0124-9
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Keywords

  • endometrial tumor
  • lymphatic metastasis
  • sentinel lymph node biopsy
  • lymphadenectomy

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