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Poster/ePoster Sessions
05. Miscellaneous
#657 Global survey on training in sentinel lymph node mapping for endometrial and cervical cancer
Free
  1. Irina Tsibulak1,
  2. Anna Collins2,
  3. Heng-Cheng Hsu3,
  4. Enrique Chacon4,
  5. Nicolò Bizzarri5,
  6. Alex Mutombo Baleka6,
  7. Zoia Razumova7,
  8. Charalampos Theofanakis8,
  9. Joanna Kacperczyk-Bartnik9,
  10. Alexandra Natalia Strojna10,
  11. Andrei Pletnev11,
  12. Natalia R Gómez-Hidalgo12,
  13. Alexander Shushkevich13,
  14. Jaime Garcia14,
  15. Michael Frumovitz15 and
  16. Pedro T Ramirez16
  1. 1Department of Obstetrics and Gynaecology, Medical University of Innsbruck, Innsbruck, Austria
  2. 2University Hospitals of Leicester NHS Trust, Leicester, UK
  3. 3National Taiwan University Cancer Center, Taipei City, Taiwan
  4. 4Department of Obstetrics and Gynecology, Universidad de Navarra, Pamplona, Spain
  5. 5UOC Ginecologia Oncologica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
  6. 6Kinshasa University Hospital, Kinshasa, Congo (DRC)
  7. 7Department of Women’s and Children’s Health, Karolinska Institute, Stockholm, Sweden
  8. 8Department of Gynecological Oncology, General Hospital of Athens Alexandra, Athens, Greece
  9. 9II Department of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland
  10. 10Department of Gynecology and Gynecologic Oncology, Evangelische Kliniken Essen Mitte, Essen, Germany
  11. 11Department of Obstetrics and Gynecology, University of Zielona Gora, Zielona Gora, Poland
  12. 12Department of Gynaecologic Oncology, Vall d’Hebron Hospital, Barcelona, Spain
  13. 13Department of Surgery, Institute of Biology and Medicine, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
  14. 14Department of Institutional Research, The University of Texas – MD Anderson Cancer Center, Houston, USA
  15. 15Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas – MD Anderson Cancer Center, Houston, USA
  16. 16Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, USA

Abstract

Introduction/Background Sentinel lymph node mapping (SLN) for endometrial (EC) and cervical cancer (CC) is routinely performed worldwide. However, it has not yet been integrated into practice universally. Early career gynaecologic oncologists training practices in SLN mapping were assessed in a global survey.

Methodology An anonymous questionnaire containing 53 questions was distributed via email to the ESGO-ENYGO and IGCS member database. Respondents who were younger than 40 years of age (early career gynaecologic oncologists) were included in this descriptive analysis.

Results 238 respondents from 58 countries took part in the survey: 103 (43%) certified gynaecologic oncologists, 69 (29%) subspeciality trainees/fellows, 18 (8%) residents, while 48 (20%) did not mention their level of training. Responses differed for EC and CC (p<0.001): 8% stated that no SLN for EC is performed at their institution, while for CC it was 15%. Only 32% (n=77) perform SLN mapping for all eligible cases in EC and 16% in CC (n=38). A SLN surgical algorithm was reported by 59% of respondents for EC and by 47% for CC. Fifty-five percent of respondents were initially trained in systematic lymph node dissection (LND), 33% in SLN mapping and 12% were not trained in either SLN mapping or systematic LND. When assessing which steps of SLN mapping are usually performed (136 responses): 89% (n=121) reported injecting the tracer, 90% (n=122) inspect the pelvic area, 85% (n=115) dissect anatomic landmarks and identify the SLN, and 83% (n=113) perform the dissection of the SLN. Poor access to training was the main challenge reported by 96% (n=229) and 84% (n= 199) reported to be predominantly self-taught.

Conclusion A total of 8–15% of respondents stated not to perform SLN procedure at their institution and 12% were not trained in any lymph node surgery. SLN mapping in EC was reported to be used more routinely than for CC.

Disclosures COI submitted where applicable.

https://doi.org/10.1136/ijgc-2023-ESGO.470

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