2/17/2024 0 Comments Sentinel lymph node meaning![]() Therefore, recent international guidelines recommend intraoperative triage of patients, based on LN assessment. Radical surgery followed by adjuvant chemoradiation is associated with the highest treatment complication rate, since each treatment causes different types of side effects. The significance of intraoperative SLN assessment is underlined by the fact that one of the recent trends in the management of early-stage cervical cancer is the avoidance of combined treatment with 2 main modalities. Identification of a small number of key LNs in the pelvis at the beginning of the surgery allows for more accurate intraoperative LN assessment if clinically warranted. 5 The mean number of acquired LNs after systematic pelvic LN dissection of these regions is greater than 20. According to mapping studies of positive LNs in the pelvis of patients with cervical cancer, these nodes can be located in all the main anatomical regions including the external iliac, interiliac, common iliac, and presacral locations. Identification of a small number of key LNs in the pelvis at the beginning of the surgery allows for more accurate intraoperative LN assessment. The implementation of SLN into the management of early-stage cervical cancer has several important implications.
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