Abstract
Cervical cancer remains an important health problem worldwide responsible for a high number of deaths especially in cases diagnosed in advanced stages. When it comes to patients diagnosed in early stages, they have an improved prognosis with high rates of 5 year overall survival. Due to the fact that one of the most important routes of dissemination remains the lymphatic pattern, studies were focused on determining which cases are more suitable for lymph node dissection even if an early stage of the disease is expected. This is a literature review regarding pros and cons aspects of the utility of sentinel lymph node in early stage cervical cancer.
Highlights
The incidence of cervical cancer in central and eastern Europe is around 14.5%, being the third most commonly diagnosed cancer in women with a mortality rate of 6.3%, which makes it the fourth leading cause of cancer death in females worldwide [1]
Pelvic lymphadenectomy associated with radical hysterectomy remains the gold standard treatment, pelvic node metastasis are identified in approximately one third of the cases, varying between 12%-26% [57]
Because detection rate is similar to that obtained with the blue dye and radioisotope method, indocyanine green technique is considered to be effective for sentinel lymph node detection [21]
Summary
The incidence of cervical cancer in central and eastern Europe is around 14.5%, being the third most commonly diagnosed cancer in women with a mortality rate of 6.3%, which makes it the fourth leading cause of cancer death in females worldwide [1]. The evaluation of lymph node involvement remains an important procedure due to the fact that lymph node status is one of the most important prognostic factors in patients diagnosed with early stage cervical cancer. The concept of sentinel lymph node in cervical cancer
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