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Long-term follow-up of vulvar cancer patients evaluated with sentinel lymph node biopsy alone.

Identifieur interne : 001624 ( PubMed/Curation ); précédent : 001623; suivant : 001625

Long-term follow-up of vulvar cancer patients evaluated with sentinel lymph node biopsy alone.

Auteurs : Katina Robison [États-Unis] ; Dario Roque [États-Unis] ; Carolyn Mccourt [États-Unis] ; Ashley Stuckey [États-Unis] ; Paul A. Disilvestro [États-Unis] ; C James Sung [États-Unis] ; Margaret Steinhoff [États-Unis] ; C O Granai [États-Unis] ; Richard G. Moore [États-Unis]

Source :

RBID : pubmed:24631445

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English descriptors

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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Le document en format XML

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<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="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Canal inguinal</term>
<term>Carcinome épidermoïde ()</term>
<term>Carcinome épidermoïde (anatomopathologie)</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infection de plaie opératoire</term>
<term>Jambe</term>
<term>Lymphadénectomie</term>
<term>Lymphocèle</term>
<term>Lymphoedème</term>
<term>Métastase lymphatique</term>
<term>Noeuds lymphatiques ()</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Récidive tumorale locale</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de la vulve ()</term>
<term>Tumeurs de la vulve (anatomopathologie)</term>
<term>Études de cohortes</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
</keywords>
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<term>Carcinome épidermoïde</term>
<term>Noeuds lymphatiques</term>
<term>Tumeurs de la vulve</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>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Canal inguinal</term>
<term>Carcinome épidermoïde</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infection de plaie opératoire</term>
<term>Jambe</term>
<term>Lymphadénectomie</term>
<term>Lymphocèle</term>
<term>Lymphoedème</term>
<term>Métastase lymphatique</term>
<term>Noeuds lymphatiques</term>
<term>Récidive tumorale locale</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de la vulve</term>
<term>Études de cohortes</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
</keywords>
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<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>
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<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>
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<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>
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<LastName>Robison</LastName>
<ForeName>Katina</ForeName>
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<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>
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<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>
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<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>
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<LastName>Stuckey</LastName>
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<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>
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<LastName>DiSilvestro</LastName>
<ForeName>Paul A</ForeName>
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<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>
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<LastName>Sung</LastName>
<ForeName>C James</ForeName>
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<Affiliation>Department of Pathology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, 101 Dudley Street, Providence, RI, USA.</Affiliation>
</AffiliationInfo>
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