A Pilot Study Utilizing Intraoperative Lymphoscintigraphy for Identification of the Sentinel Lymph Nodes in Vulvar Cancer

摘要: Abstract Objective. To identify sentinel lymph nodes using intraoperative lymphoscintigraphy. Methods. Technetium-99-labeled sulfur colloid was injected at the site of primary vulvar carcinoma. An gamma counter used to one or more nodes. Results. Ten patients underwent bilateral inguinal and femoral lymphadenectomy. The clinical stages are as follows: T1 in 6, T2 2, T3 2. A total four groins (3 patients) were positive for metastases. In patient only node disease. a second patient, two unilateral disease both identified with third single malignancy each groin. Multiple nonsentinel groin this patient. no case negative when other positive. Conclusion. Intraoperative lymphoscintigraphy quantitatively identifies Since can be localized transcutaneously, technique may useful selective Larger accrual is necessary verify technique.