REVIEW ARTICLE
부인과 영역에서의 감시림프절 생검과 림프부종
정수영1, 김태중1,*
Sentinel Lymph Node Biopsy in Gynecological Cancer & Lymphedema
Soo Young Jeong1, Tae-Joong Kim1,*
1Department of Plastic & Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
*Corresponding Author :
Tae-Joong Kim, MD, PhD, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea, Tel: +82-2-3410-3547, Fax: +82-2-3410-0630, E-mail:
tj28.kim@samsung.com
ⓒ Copyright 2019 Korean Society of Lymphology and Lymphedema. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: May 03, 2019; Accepted: May 14, 2019
Published Online: May 31, 2019
Abatract
Lymphadenectomy has been routinely performed in gynecologic cancer surgery. Complete lymphadenectomy can result in low leg lymphedema which decreases the quality of life of the patients. Recently, sentinel lymph biopsy (SLNB) is widely performed instead of complete lymphadenectomy, especially in endometrial cancer. The accuracy of SLNB in detecting lymph node metastasis is higher than the conventional method because of pathologic ultra-staging from key nodes through lymphatic mapping. However, the prospective data about the oncologic outcome and low leg edema from SLNB are rare yet. This document is to introduce the concept of sentinel lymph node biopsy to the practitioners who deal with low leg edema.
Keywords: Endometrial Neoplasms; Lymphadenectomy; Lymphedema, sentinel lymph node biopsy; Uterine Cervical Neoplasms
