Vloga limfoscintigrafije in biopsije varovalne bezgavke pri začetnem stadiju raka zunanjega spolovila

slovenian

2021

volume 90, issue 7/8

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Vulvar cancer is a rare gynaecological malignancy which accounts to about 57 women in Slovenia every year. The most important prognostic factor is the presence of lymph node metastases in local or locally-advanced disease. Since only 20%30% of women with early- stage vulvar cancer have groin metastases, inguinofemoral lymphadenectomy is an over-treatment in 70%80% of these patients and is often associated with intra- and postoperative complications such as wound infection, wound dehiscence and lymphoedema of the lower extremities.The sentinel node biopsy is a minimally invasive and safe procedure in women with early stage vulvar cancer (FIGO stage IB/II), where the tumour is unilateral, less than 4 cm in diameter, and without clinical/radiological evidence of lymph node metastases. This reduces the intra- and postoperative morbidity in patients with early stage vulvar cancer.

29.10.2021