RT Journal Article
SR Electronic
T1 272 Cervical and endometrial carcinoma in the green lymph node era. pathological findings and management. first experience in argentina with ICG
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP A111
OP A111
DO 10.1136/ijgc-2020-IGCS.234
VO 30
IS Suppl 3
A1 Darin, MC
A1 Di Guilmi, J
A1 Toscano, M
A1 Garcia Zeman, M
A1 Rampulla, R
A1 Maya, AG
YR 2020
UL http://ijgc.bmj.com/content/30/Suppl_3/A111.2.abstract
AB Introduction Sentinel lymph node (SLN) mapping is becoming the new standard of care in cervical and endometrial carcinoma (CC) (EC), changing the prognosis of patients with unsuspected LN involvement, and avoiding systematic lymphadenectomies in high risk EC. We can also identified low volume metastases (LVM), but we still lack of data about the appropriate adjuvant treatment.Methods Analysis on a group of patients from our two prospective trials of SNL in EC and CC. we included patients in whom we used indocianine green (ICG). We analysed the final pathology and the adjuvant treatment, with special interest in those with LVM. We analysed the subgroup of patients with aortic lymphadenectomy.Results 59 patients. 41 EC and 18 CC. we used 1,25 mg of cervical ICG. global detection rate: 98,3%. Bilateral detection rate:91,5%. Pelvic lymphadenectomy in 18 EC and in all CC. aortic in 6 patients. 10 had nodal metastases: All with bilateral SNL. The sensitivity was 100%, no false negative rate. There were no aortic positive nodes without pelvic compromised. In 22 of EC we only performed SLN mapping. 2 of them, initially low risk, had nodal disease. we had 4 LVM, 2 in the low risk EC. They all received radiotherapy.Abstract 272 Figure 1 Conclusion The presence of LVM conditioned the indication of adjuvance. We consider than SLN and selective lymphadenectomy if SLN aren´t found, is a valid option in cases of high risk EC. Because of these results and our experience, we are no longer performing extensive lymphadenectomies.