Using Nanotech Radiopharmaceutical for the Visualization of Sentinel Lymph Nodes in Patients with Cervical Cancer

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The study of radionuclide determination of SLN and optimization of surgical treatment in organ-sparing treatment of invasive cervical cancer included 26 patients with cervical cancer of stage I. To identify sentinel lymph nodes a nanocolloid was administered one day prior to the planned operation. Sentinel lymph nodes were identified in 26 patients. A comparative evaluation of the sensitivity of techniques for determining SLN, depending on the method, has showed that the SPECT sensitivity was 72%, with radiometry this indicator was 93.3%. The technique of intraoperative radiometric determination of SLN is more efficient in comparison with SPECT. The optimum is the combined use of both techniques, when the probability of SLN detection increases to 91.4%.

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540-544

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January 2015

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© 2015 Trans Tech Publications Ltd. All Rights Reserved

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[1] M.S. Baggish, M.K. Karram, Atlas of Pelvic Anatomy and Gynecologic Surgery, Elsevier Ltd., London, (2009).

Google Scholar

[2] V.F. Semiglazov, A new trend in non-ablative surgery and organ-sparing surgical therapy of malignant tumors, Medical Bulletin «A Clinician School» 35(504) (2009) 9-10 (Russian).

Google Scholar

[3] E.L. Choinzonov, L. F. Pisareva, L.D. Zhuikova, Malignant neoplasms morbidity in Tomsk region in 2004-2009. Quality assessment of diagnostics, Siberian J. of Oncology 50 (2011) 29-34 (Russian).

Google Scholar

[4] A.L. Chernyshova, A. Yu. Lyapunov, L.A. Kolomiets, V.I. Chernov, I.G. Sinilkin, The determination of sentinel lymph nodes in the surgical treatment of cervical cancer, Siberian J. of Oncology 51 (2012) 28-33 (Russian).

DOI: 10.21294/1814-4861-2018-17-1-82-91

Google Scholar

[5] V.I. Chernov, S.G. Afanas'ev, I.G. Sinilkin, A.A. Titskaya, A.V. Avgustinovich, Radionuclide diagnostic techniques to identify sentinel lymph nodes, Siberian J. of Oncology 28 (4) (2008) 5-10 (Russian).

Google Scholar

[6] N.R. Abu-Rustum, N. Neubauer, Y. Sonoda, Surgical and pathologic outcomes of fertility-sparing radical abdominal trachelectomy for FIGO stage IB1 cervical cancer, J. Gyneco. l Oncol. 111(2) (2008) 261-264.

DOI: 10.1016/j.ygyno.2008.07.002

Google Scholar

[7] H. Hertel, C. Köhler, D. Grund, Association of Gynecologic Oncologists (AGO): Radical vaginal trachelectomy (RVT) combined with laparoscopic pelvic lymphadenectomy: prospective multicenter study of 100 patients with early cervical cancer, J. Gyneco. l Oncol. 103(2) (2006).

DOI: 10.1016/j.ygyno.2006.03.040

Google Scholar

[8] L. Darlin, J. Persson, T. Bossmar, The sentinel node concept in early cervical cancer performs well in tumors smaller than 2 cm, J. Gynecol. Oncol. 117(2) (2010) 266-269.

DOI: 10.1016/j.ygyno.2010.01.035

Google Scholar

[9] A.L. Chernyshova, L.A. Kolomiets, S.E. Krasil'nikov, The organ preservation treatment in case of invasive cervical cancer, Siberian J. of Oncology. 49 (2011) 72-78 (Russian).

Google Scholar

[10] E.L. Choinzonov, L.F. Pisareva, N.V. Cherdyntseva, A.P. Boyarkina, I.N. Odintsova, N.A. Martynova, Cancer morbidity in Siberia and Russian Far East. The state of health care service of cancer patients and the ways of its improvement, Bull. of Siberian Branch RAMS 2 (2004).

Google Scholar

[11] X. -L. Du, X. -G. Sheng, T. Jiang, Sentinel lymph node biopsy as guidance for radical trachelectomy in young patients with early stage cervical cancer, BMC Cancer 11 (2011) 157-163.

DOI: 10.1186/1471-2407-11-157

Google Scholar

[12] N.R. Abu-Rustum, F. Knoury-Collado, M. L. Gemignani, Tehniques of sentinel lymph node identification for early-stage cervical and uterine cancer, J. Gynecol. Oncol. 111 (2008) 44-50.

DOI: 10.1016/j.ygyno.2008.07.027

Google Scholar

[13] C. Altgassen, H. Hertel, Multicenter validacion study of the sentinentel lymph node concept in cervical cancer: AGO Study Group, J. Clin. Oncol. 26 (2008) 2943-2951.

DOI: 10.1200/jco.2007.13.8933

Google Scholar

[14] J.P. Diaz, Y. Sonoda, M.M. Leitao, Oncologic outcome of fertility-sparing radical trachelectomy versus radical hysterectomy for stage IB1 cervical carcinoma, J. Gynecol. Oncol. 111(2) (2008) 255-260.

DOI: 10.1016/j.ygyno.2008.07.014

Google Scholar

[15] Eiriksson LR , Covens A. Sentinel lymph node mapping in cervical cancer: the future? BJOG: An Intю Jю of Obstetrics & Gynecology. Special Issue: Gynecological oncology 119 (2) (2012) 2129–2133.

DOI: 10.1111/j.1471-0528.2011.03134.x

Google Scholar

[16] A.N. Fader, R.P. Edwards, M. Cost, Sentinel lymph node biopsy in early-stage cervical cancer: utility of intraoperative versus postoperative assessment, J. Gynecol. Oncol. 111(1) (2008) 13-17.

DOI: 10.1016/j.ygyno.2008.06.009

Google Scholar

[17] P.P. Kara, A. B. Ayhan, Caner Sentinel lymph node detection in early stage cervical cancer: a prospective study comparing preoperative lymphoscintigraphy, intraoperative gamma probe, and blue dye, J. Ann. Nucl. Med. 22(6) (2008) 487-494.

DOI: 10.1007/s12149-008-0144-1

Google Scholar

[18] C. Levenback, Update on sentinel lymph node biopsy in gynecologic cancers, J. Gynecol. Oncol. 111(2) (2008) 42-43.

DOI: 10.1016/j.ygyno.2008.07.029

Google Scholar