Sentinel node mapping using hysteroscopic injection of indocyanine green and laparoscopic near-infrared fluorescence imaging in endometrial cancer staging

J Minim Invasive Gynecol. 2015 Jan;22(1):132-3. doi: 10.1016/j.jmig.2014.08.009. Epub 2014 Aug 15.

Abstract

Herein is presented a technique for minimally invasive sentinel node mapping. The patient had apparently early stage endometrial cancer. Sentinel node mapping was performed using a hysteroscopic injection of indocyanine green followed by laparoscopic sentinel node detection via near-infrared fluorescence. This technique ensures delineation of lymphatic drainage from the tumor area, thus achieving accurate detection of sentinel nodes.

Keywords: Endometrial cancer; Fluorescence; Laparoscopy; Lymph node mapping; Sentinel node biopsy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Endometrioid / pathology*
  • Carcinoma, Endometrioid / surgery
  • Coloring Agents
  • Endometrial Neoplasms / pathology*
  • Endometrial Neoplasms / surgery
  • Female
  • Humans
  • Hysteroscopy
  • Indocyanine Green
  • Injections
  • Laparoscopy / methods
  • Lymph Nodes / pathology*
  • Neoplasm Staging
  • Sentinel Lymph Node Biopsy / methods*
  • Spectroscopy, Near-Infrared

Substances

  • Coloring Agents
  • Indocyanine Green