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Archives of Gynecology and Obstetrics

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29.12.2016 | Gynecologic Oncology

Application of sentinel lymph node dissection in gynecological cancers: results of a survey among German hospitals

verfasst von: Rüdiger Klapdor, Hermann Hertel, Philipp Soergel, Matthias Jentschke, Peter Hillemanns

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2017

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Abstract

Purpose

Evaluating the application of the sentinel lymph node dissection (SLND) in gynecological cancers among German hospitals.

Methods

Between March and June 2016 an online questionnaire on SLND in gynecologic cancers was sent by email to all German gynecologic cancer centers, all university hospitals and general hospitals for which an email address was available. The survey contained 61 questions regarding the SLND in vulvar, cervical, endometrial and ovarian cancer.

Results

In total, 63 clinics, including 13 (20.6%) university hospitals, 28 (44.4%) hospitals offering maximum care and 22 (34.9%) general hospitals, responded to the questionnaire. Most clinics (46/63, 73%) performed SLND in vulvar cancer with a median amount of 7.8 (range 1–43) SLND per year. 56.5% of the clinics included patients according to the German national guidelines and performed ultrastaging of negative SLN. Furthermore, 18/63 (28.5%) of the responding clinics applied SLND in cervical cancer including 7 (77.8%) centers which conducted isolated SLND without radical pelvic lymph node dissection (LND). Preoperative imaging with planar lymphoscintigraphy (LSG) was applied in 12/18 (66.7%) of the clinics. SLND in endometrial cancer was reported by 4/63 (6.4%) hospitals. Three of them (75%) regularly performed a subsequent radical pelvic LND. One clinic (1.5%) reported SLND in ovarian cancer in combination with radical LND.

Conclusion

Especially in vulvar and cervical cancer, isolated SLND appears to be partially implemented in the routine surgical treatment. However, this survey illustrates a wide heterogeneity regarding inclusion criteria and application of the SLND approach.

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Titel: Application of sentinel lymph node dissection in gynecological cancers: results of a survey among German hospitals
verfasst von: Rüdiger Klapdor
Hermann Hertel
Philipp Soergel
Matthias Jentschke
Peter Hillemanns
Publikationsdatum: 29.12.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 3/2017
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-016-4279-3

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Application of sentinel lymph node dissection in gynecological cancers: results of a survey among German hospitals

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