Isolated sentinel lymph node dissection with conservative management in patients with squamous cell carcinoma of the vulva: a prospective trial.
Identifieur interne : 002B60 ( Ncbi/Merge ); précédent : 002B59; suivant : 002B61Isolated sentinel lymph node dissection with conservative management in patients with squamous cell carcinoma of the vulva: a prospective trial.
Auteurs : Richard G. Moore [États-Unis] ; Katina Robison ; Amy K. Brown ; Paul Disilvestro ; Margaret Steinhoff ; Richard Noto ; Laurent Brard ; C O GranaiSource :
- Gynecologic oncology [ 1095-6859 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Biopsie de noeud lymphatique sentinelle (), Bleu de méthylène, Carcinome épidermoïde (), Carcinome épidermoïde (anatomopathologie), Carcinome épidermoïde (imagerie diagnostique), Cellulite sous-cutanée (étiologie), Femelle, Humains, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Métastase lymphatique, Noeuds lymphatiques (), Noeuds lymphatiques (anatomopathologie), Noeuds lymphatiques (imagerie diagnostique), Récidive tumorale locale (anatomopathologie), Scintigraphie, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Sulfocolloïde de technétium (99mTc), Tumeurs de la vulve (), Tumeurs de la vulve (anatomopathologie), Tumeurs de la vulve (imagerie diagnostique), Études prospectives.
- MESH :
- anatomopathologie : Carcinome épidermoïde, Noeuds lymphatiques, Récidive tumorale locale, Tumeurs de la vulve.
- effets indésirables : Lymphadénectomie.
- imagerie diagnostique : Carcinome épidermoïde, Noeuds lymphatiques, Tumeurs de la vulve.
- étiologie : Cellulite sous-cutanée, Lymphoedème.
- Adulte, Adulte d'âge moyen, Biopsie de noeud lymphatique sentinelle, Bleu de méthylène, Carcinome épidermoïde, Femelle, Humains, Lymphadénectomie, Métastase lymphatique, Noeuds lymphatiques, Scintigraphie, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Sulfocolloïde de technétium (99mTc), Tumeurs de la vulve, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Carcinoma, Squamous Cell (diagnostic imaging), Carcinoma, Squamous Cell (pathology), Carcinoma, Squamous Cell (surgery), Cellulitis (etiology), Female, Humans, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymph Nodes (diagnostic imaging), Lymph Nodes (pathology), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphedema (etiology), Methylene Blue, Middle Aged, Neoplasm Recurrence, Local (pathology), Neoplasm Staging, Prospective Studies, Radionuclide Imaging, Sentinel Lymph Node Biopsy (methods), Technetium Tc 99m Sulfur Colloid, Vulvar Neoplasms (diagnostic imaging), Vulvar Neoplasms (pathology), Vulvar Neoplasms (surgery).
- MESH :
- chemical : Methylene Blue, Technetium Tc 99m Sulfur Colloid.
- adverse effects : Lymph Node Excision.
- diagnostic imaging : Carcinoma, Squamous Cell, Lymph Nodes, Vulvar Neoplasms.
- etiology : Cellulitis, Lymphedema.
- methods : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- pathology : Carcinoma, Squamous Cell, Lymph Nodes, Neoplasm Recurrence, Local, Vulvar Neoplasms.
- surgery : Carcinoma, Squamous Cell, Lymph Nodes, Vulvar Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Humans, Lymphatic Metastasis, Middle Aged, Neoplasm Staging, Prospective Studies, Radionuclide Imaging.
Abstract
Sentinel lymph node (SLN) dissections have a high sensitivity and negative predictive value for the detection of metastatic disease. The objective of this study was to examine the inguinal recurrence rate along with complication rates for patients undergoing inguinal SLN dissection alone for vulvar carcinoma.
DOI: 10.1016/j.ygyno.2007.12.027
PubMed: 18255128
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Moore</name><affiliation wicri:level="4"><nlm:affiliation>Program in Women's Oncology, Women and Infants' Hospital, Brown University, Providence, RI 02905, USA. rmoore@wihri.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Program in Women's Oncology, Women and Infants' Hospital, Brown University, Providence, RI 02905</wicri:regionArea><placeName><region type="state">Rhode Island</region><settlement type="city">Providence (Rhode Island)</settlement></placeName><orgName type="university">Université Brown</orgName></affiliation></author><author><name sortKey="Robison, Katina" sort="Robison, Katina" uniqKey="Robison K" first="Katina" last="Robison">Katina Robison</name></author><author><name sortKey="Brown, Amy K" sort="Brown, Amy K" uniqKey="Brown A" first="Amy K" last="Brown">Amy K. 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Moore</name><affiliation wicri:level="4"><nlm:affiliation>Program in Women's Oncology, Women and Infants' Hospital, Brown University, Providence, RI 02905, USA. rmoore@wihri.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Program in Women's Oncology, Women and Infants' Hospital, Brown University, Providence, RI 02905</wicri:regionArea><placeName><region type="state">Rhode Island</region><settlement type="city">Providence (Rhode Island)</settlement></placeName><orgName type="university">Université Brown</orgName></affiliation></author><author><name sortKey="Robison, Katina" sort="Robison, Katina" uniqKey="Robison K" first="Katina" last="Robison">Katina Robison</name></author><author><name sortKey="Brown, Amy K" sort="Brown, Amy K" uniqKey="Brown A" first="Amy K" last="Brown">Amy K. 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xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Carcinoma, Squamous Cell (diagnostic imaging)</term><term>Carcinoma, Squamous Cell (pathology)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Cellulitis (etiology)</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Metastasis</term><term>Lymphedema (etiology)</term><term>Methylene Blue</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local (pathology)</term><term>Neoplasm Staging</term><term>Prospective Studies</term><term>Radionuclide Imaging</term><term>Sentinel Lymph Node Biopsy (methods)</term><term>Technetium Tc 99m Sulfur Colloid</term><term>Vulvar Neoplasms (diagnostic imaging)</term><term>Vulvar Neoplasms (pathology)</term><term>Vulvar Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle ()</term><term>Bleu de méthylène</term><term>Carcinome épidermoïde ()</term><term>Carcinome épidermoïde (anatomopathologie)</term><term>Carcinome épidermoïde (imagerie diagnostique)</term><term>Cellulite sous-cutanée (étiologie)</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Récidive tumorale locale (anatomopathologie)</term><term>Scintigraphie</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Sulfocolloïde de technétium (99mTc)</term><term>Tumeurs de la vulve ()</term><term>Tumeurs de la vulve (anatomopathologie)</term><term>Tumeurs de la vulve (imagerie diagnostique)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Methylene Blue</term><term>Technetium Tc 99m Sulfur Colloid</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinome épidermoïde</term><term>Noeuds lymphatiques</term><term>Récidive tumorale locale</term><term>Tumeurs de la vulve</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Lymph Nodes</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cellulitis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Carcinome épidermoïde</term><term>Noeuds lymphatiques</term><term>Tumeurs de la vulve</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Lymph Nodes</term><term>Neoplasm Recurrence, Local</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Lymph Nodes</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prospective Studies</term><term>Radionuclide Imaging</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Bleu de méthylène</term><term>Carcinome épidermoïde</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques</term><term>Scintigraphie</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Sulfocolloïde de technétium (99mTc)</term><term>Tumeurs de la vulve</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sentinel lymph node (SLN) dissections have a high sensitivity and negative predictive value for the detection of metastatic disease. The objective of this study was to examine the inguinal recurrence rate along with complication rates for patients undergoing inguinal SLN dissection alone for vulvar carcinoma.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18255128</PMID><DateCreated><Year>2008</Year><Month>03</Month><Day>31</Day></DateCreated><DateCompleted><Year>2008</Year><Month>04</Month><Day>08</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN><JournalIssue CitedMedium="Internet"><Volume>109</Volume><Issue>1</Issue><PubDate><Year>2008</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Isolated sentinel lymph node dissection with conservative management in patients with squamous cell carcinoma of the vulva: a prospective trial.</ArticleTitle><Pagination><MedlinePgn>65-70</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2007.12.027</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Sentinel lymph node (SLN) dissections have a high sensitivity and negative predictive value for the detection of metastatic disease. The objective of this study was to examine the inguinal recurrence rate along with complication rates for patients undergoing inguinal SLN dissection alone for vulvar carcinoma.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An IRB approved prospective study enrolled patients with biopsy proven squamous cell carcinoma of the vulva. Peritumoral injection of Tc-99 sulfur colloid and methylene blue dye was used to identify SLNs intraoperatively. Patients with SLNs negative for metastatic disease were followed clinically. Patients with metastasis detected in a SLN subsequently underwent a full groin node dissection followed by standard treatment protocols.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-six patients were enrolled onto study with 35 undergoing a SLN dissection. All SNL dissections were successful with a mean of 2 SLN obtained per groin. There were 24 patients with stage I disease, 8 stage II, 3 stage III and 1 stage IV. A total of 56 SLN dissections were performed with 4 patients found to have inguinal metastasis by SLN dissection. There were 31 patients with a total of 46 SLN dissections found to be negative for metastatic disease. The median follow-up has been 29 months (range 8 to 51) with 2 groin recurrences for a groin recurrence rate of 4.3% and a recurrence rate per patient of 6.4%. There have been no reports of groin breakdown, extremity cellulitis or lymphedema.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The recurrence rate for patients undergoing inguinal sentinel node dissection alone is low. These patients did not experience any complications as seen with complete groin node dissections. Sentinel lymph node dissection should be considered as an option for evaluation of inguinal nodes for metastatic disease.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Moore</LastName><ForeName>Richard G</ForeName><Initials>RG</Initials><AffiliationInfo><Affiliation>Program in Women's Oncology, Women and Infants' Hospital, Brown University, Providence, RI 02905, USA. rmoore@wihri.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Robison</LastName><ForeName>Katina</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Brown</LastName><ForeName>Amy K</ForeName><Initials>AK</Initials></Author><Author ValidYN="Y"><LastName>DiSilvestro</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Steinhoff</LastName><ForeName>Margaret</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Noto</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Brard</LastName><ForeName>Laurent</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Granai</LastName><ForeName>C O</ForeName><Initials>CO</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2008</Year><Month>02</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gynecol Oncol</MedlineTA><NlmUniqueID>0365304</NlmUniqueID><ISSNLinking>0090-8258</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>556Q0P6PB1</RegistryNumber><NameOfSubstance UI="D013671">Technetium Tc 99m Sulfur Colloid</NameOfSubstance></Chemical><Chemical><RegistryNumber>T42P99266K</RegistryNumber><NameOfSubstance UI="D008751">Methylene Blue</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Gynecol Oncol. 2008 Oct;111(1):158; author reply 159</RefSource><PMID Version="1">18590928</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002294" MajorTopicYN="N">Carcinoma, Squamous Cell</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002481" MajorTopicYN="N">Cellulitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008751" MajorTopicYN="N">Methylene Blue</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009364" MajorTopicYN="N">Neoplasm Recurrence, Local</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011877" MajorTopicYN="N">Radionuclide Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013671" MajorTopicYN="N">Technetium Tc 99m Sulfur Colloid</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014846" MajorTopicYN="N">Vulvar Neoplasms</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2007</Year><Month>09</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2007</Year><Month>12</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2007</Year><Month>12</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>2</Month><Day>8</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>4</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>2</Month><Day>8</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18255128</ArticleId><ArticleId IdType="pii">S0090-8258(07)01046-3</ArticleId><ArticleId IdType="doi">10.1016/j.ygyno.2007.12.027</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Rhode Island</li></region><settlement><li>Providence (Rhode Island)</li></settlement><orgName><li>Université Brown</li></orgName></list><tree><noCountry><name sortKey="Brard, Laurent" sort="Brard, Laurent" uniqKey="Brard L" first="Laurent" last="Brard">Laurent Brard</name><name sortKey="Brown, Amy K" sort="Brown, Amy K" uniqKey="Brown A" first="Amy K" last="Brown">Amy K. Brown</name><name sortKey="Disilvestro, Paul" sort="Disilvestro, Paul" uniqKey="Disilvestro P" first="Paul" last="Disilvestro">Paul Disilvestro</name><name sortKey="Granai, C O" sort="Granai, C O" uniqKey="Granai C" first="C O" last="Granai">C O Granai</name><name sortKey="Noto, Richard" sort="Noto, Richard" uniqKey="Noto R" first="Richard" last="Noto">Richard Noto</name><name sortKey="Robison, Katina" sort="Robison, Katina" uniqKey="Robison K" first="Katina" last="Robison">Katina Robison</name><name sortKey="Steinhoff, Margaret" sort="Steinhoff, Margaret" uniqKey="Steinhoff M" first="Margaret" last="Steinhoff">Margaret Steinhoff</name></noCountry><country name="États-Unis"><region name="Rhode Island"><name sortKey="Moore, Richard G" sort="Moore, Richard G" uniqKey="Moore R" first="Richard G" last="Moore">Richard G. Moore</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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