Long-term follow-up of vulvar cancer patients evaluated with sentinel lymph node biopsy alone.
Identifieur interne : 001624 ( PubMed/Corpus ); précédent : 001623; suivant : 001625Long-term follow-up of vulvar cancer patients evaluated with sentinel lymph node biopsy alone.
Auteurs : Katina Robison ; Dario Roque ; Carolyn Mccourt ; Ashley Stuckey ; Paul A. Disilvestro ; C James Sung ; Margaret Steinhoff ; C O Granai ; Richard G. MooreSource :
- Gynecologic oncology [ 1095-6859 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Carcinoma, Squamous Cell (pathology), Carcinoma, Squamous Cell (surgery), Cohort Studies, Female, Humans, Inguinal Canal, Leg, Longitudinal Studies, Lymph Node Excision, Lymph Nodes (pathology), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphedema, Lymphocele, Middle Aged, Neoplasm Recurrence, Local, Postoperative Complications, Prospective Studies, Sentinel Lymph Node Biopsy, Surgical Wound Infection, Treatment Outcome, Vulvar Neoplasms (pathology), Vulvar Neoplasms (surgery).
- MESH :
- pathology : Carcinoma, Squamous Cell, Lymph Nodes, Vulvar Neoplasms.
- surgery : Carcinoma, Squamous Cell, Lymph Nodes, Vulvar Neoplasms.
- Adult, Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Inguinal Canal, Leg, Longitudinal Studies, Lymph Node Excision, Lymphatic Metastasis, Lymphedema, Lymphocele, Middle Aged, Neoplasm Recurrence, Local, Postoperative Complications, Prospective Studies, Sentinel Lymph Node Biopsy, Surgical Wound Infection, Treatment Outcome.
Abstract
The objective of this study was to examine SLN evaluation alone in women with squamous cell carcinoma (SCC) of the vulva and evaluate the inguinal recurrence and complication rates.
DOI: 10.1016/j.ygyno.2014.03.010
PubMed: 24631445
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pubmed:24631445Le document en format XML
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Electronic address: krobison@wihri.org.</nlm:affiliation></affiliation></author><author><name sortKey="Roque, Dario" sort="Roque, Dario" uniqKey="Roque D" first="Dario" last="Roque">Dario Roque</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of North Carolina at Chapel Hill, Campus Box 7572, Chapel Hill, NC 27599-7572, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mccourt, Carolyn" sort="Mccourt, Carolyn" uniqKey="Mccourt C" first="Carolyn" last="Mccourt">Carolyn Mccourt</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Stuckey, Ashley" sort="Stuckey, Ashley" uniqKey="Stuckey A" first="Ashley" last="Stuckey">Ashley Stuckey</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Disilvestro, Paul A" sort="Disilvestro, Paul A" uniqKey="Disilvestro P" first="Paul A" last="Disilvestro">Paul A. Disilvestro</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Sung, C James" sort="Sung, C James" uniqKey="Sung C" first="C James" last="Sung">C James Sung</name><affiliation><nlm:affiliation>Department of Pathology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Steinhoff, Margaret" sort="Steinhoff, Margaret" uniqKey="Steinhoff M" first="Margaret" last="Steinhoff">Margaret Steinhoff</name><affiliation><nlm:affiliation>Department of Pathology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Granai, C O" sort="Granai, C O" uniqKey="Granai C" first="C O" last="Granai">C O Granai</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Moore, Richard G" sort="Moore, Richard G" uniqKey="Moore R" first="Richard G" last="Moore">Richard G. Moore</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24631445</idno><idno type="pmid">24631445</idno><idno type="doi">10.1016/j.ygyno.2014.03.010</idno><idno type="wicri:Area/PubMed/Corpus">001624</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001624</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Long-term follow-up of vulvar cancer patients evaluated with sentinel lymph node biopsy alone.</title><author><name sortKey="Robison, Katina" sort="Robison, Katina" uniqKey="Robison K" first="Katina" last="Robison">Katina Robison</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA. Electronic address: krobison@wihri.org.</nlm:affiliation></affiliation></author><author><name sortKey="Roque, Dario" sort="Roque, Dario" uniqKey="Roque D" first="Dario" last="Roque">Dario Roque</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of North Carolina at Chapel Hill, Campus Box 7572, Chapel Hill, NC 27599-7572, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mccourt, Carolyn" sort="Mccourt, Carolyn" uniqKey="Mccourt C" first="Carolyn" last="Mccourt">Carolyn Mccourt</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Stuckey, Ashley" sort="Stuckey, Ashley" uniqKey="Stuckey A" first="Ashley" last="Stuckey">Ashley Stuckey</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Disilvestro, Paul A" sort="Disilvestro, Paul A" uniqKey="Disilvestro P" first="Paul A" last="Disilvestro">Paul A. Disilvestro</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Sung, C James" sort="Sung, C James" uniqKey="Sung C" first="C James" last="Sung">C James Sung</name><affiliation><nlm:affiliation>Department of Pathology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Steinhoff, Margaret" sort="Steinhoff, Margaret" uniqKey="Steinhoff M" first="Margaret" last="Steinhoff">Margaret Steinhoff</name><affiliation><nlm:affiliation>Department of Pathology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Granai, C O" sort="Granai, C O" uniqKey="Granai C" first="C O" last="Granai">C O Granai</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Moore, Richard G" sort="Moore, Richard G" uniqKey="Moore R" first="Richard G" last="Moore">Richard G. Moore</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Gynecologic oncology</title><idno type="eISSN">1095-6859</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Carcinoma, Squamous Cell (pathology)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Leg</term><term>Longitudinal Studies</term><term>Lymph Node Excision</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Metastasis</term><term>Lymphedema</term><term>Lymphocele</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local</term><term>Postoperative Complications</term><term>Prospective Studies</term><term>Sentinel Lymph Node Biopsy</term><term>Surgical Wound Infection</term><term>Treatment Outcome</term><term>Vulvar Neoplasms (pathology)</term><term>Vulvar Neoplasms (surgery)</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Lymph Nodes</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" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Leg</term><term>Longitudinal Studies</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis</term><term>Lymphedema</term><term>Lymphocele</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local</term><term>Postoperative Complications</term><term>Prospective Studies</term><term>Sentinel Lymph Node Biopsy</term><term>Surgical Wound Infection</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective of this study was to examine SLN evaluation alone in women with squamous cell carcinoma (SCC) of the vulva and evaluate the inguinal recurrence and complication rates.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24631445</PMID><DateCreated><Year>2014</Year><Month>06</Month><Day>02</Day></DateCreated><DateCompleted><Year>2014</Year><Month>07</Month><Day>16</Day></DateCompleted><DateRevised><Year>2014</Year><Month>06</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN><JournalIssue CitedMedium="Internet"><Volume>133</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Long-term follow-up of vulvar cancer patients evaluated with sentinel lymph node biopsy alone.</ArticleTitle><Pagination><MedlinePgn>416-20</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2014.03.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0090-8258(14)00242-X</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The objective of this study was to examine SLN evaluation alone in women with squamous cell carcinoma (SCC) of the vulva and evaluate the inguinal recurrence and complication rates.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An IRB approved prospective study enrolled patients with SCC of the vulva. Peritumoral injection of Tc-99 sulfur colloid and blue dye was used to identify SLNs intraoperatively. Patients with negative SLN for metastasis were followed clinically without further treatment. Patients with metastasis to a SLN underwent full groin node dissection followed by standard treatment protocols.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 73 women were enrolled onto protocol with 69 patients undergoing SLN dissection. Mean age was 66.9years (range: 29-91) with 47 stage I, 12 stage II, 9 stage III, 2 stage IV and 3 unstaged patients. SLN dissections were successful in 63 patients. Of the 111 groins evaluated with a SLN dissection 93% had a SLN identified with an average of 2 SLN per groin. There were 92 groins with negative SLN and 11 groins with positive SLN. 57 patients had negative SLN and underwent conservative management with the median follow-up of 58.3months. Three patients experienced groin recurrences (2 unilateral, 1 bilateral) for a recurrence rate of 5.2% (3/57). The complication rate for the inguinal incisions was 17.5% (1 cellulitis, 1 abscess, 2 lymphoceles, 5 lymphedema and leg pain).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Isolated SLN dissection alone has a low inguinal recurrence rate with decreased complications and should be considered as an option for women with SCC of the vulva.</AbstractText><CopyrightInformation>Copyright © 2014. Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Robison</LastName><ForeName>Katina</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA. Electronic address: krobison@wihri.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roque</LastName><ForeName>Dario</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of North Carolina at Chapel Hill, Campus Box 7572, Chapel Hill, NC 27599-7572, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McCourt</LastName><ForeName>Carolyn</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stuckey</LastName><ForeName>Ashley</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>DiSilvestro</LastName><ForeName>Paul A</ForeName><Initials>PA</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sung</LastName><ForeName>C James</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Department of Pathology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Steinhoff</LastName><ForeName>Margaret</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Pathology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Granai</LastName><ForeName>C O</ForeName><Initials>CO</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moore</LastName><ForeName>Richard G</ForeName><Initials>RG</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Program in Women's Oncology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gynecol Oncol</MedlineTA><NlmUniqueID>0365304</NlmUniqueID><ISSNLinking>0090-8258</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><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="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007264" MajorTopicYN="N">Inguinal Canal</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><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></MeshHeading><MeshHeading><DescriptorName UI="D008210" MajorTopicYN="N">Lymphocele</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009364" MajorTopicYN="Y">Neoplasm Recurrence, Local</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="Y">Sentinel Lymph Node Biopsy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013530" MajorTopicYN="N">Surgical Wound Infection</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014846" MajorTopicYN="N">Vulvar Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Complications</Keyword><Keyword MajorTopicYN="N">Inguinal recurrence rates</Keyword><Keyword MajorTopicYN="N">Sentinel lymph node biopsy</Keyword><Keyword MajorTopicYN="N">Vulvar cancer</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>01</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>03</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>03</Month><Day>06</Day></PubMedPubDate><PubMedPubDate 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