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Size of sentinel node metastasis predicts non-sentinel node involvement in endometrial cancer

Annals of Surgical Oncology Nov 12, 2019

Baiocchi G, Mantoan H, Gonçalves BT, et al. - Researchers examined how the size of metastatic sentinel lymph nodes (SLNs) is related to the risk of non-sentinel lymph node (non-SLN) metastasis in endometrial cancer. They identified a total of 328 patients with endometrial cancer who underwent SLN mapping from January 2013 to April 2019. Of these, 142 patients underwent systematic completion pelvic ± paraaortic node dissections in addition, who form the basis of this study. The overall SLN detection rate of 87.5% was observed; 66.2% exhibited bilateral SLNs, with a median of 2 SLNs resected (range 1–8). As per data gained, there was an association of the size of SLN metastasis with the risk of non-SLN metastasis. In this study, patients with isolated tumor cells in SLNs exhibited no other metastatic lymph node.
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