Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma

A 50-year-old woman presented with symptoms of abnormal uterine bleeding. Ultrasonography showed an intrauterine cavity nodule sized approximately 2 cm. A hysteroscopic resection was diagnosed. The histopathology revealed high-grade endometrial stromal sarcoma. The surgery was laparoscopic surgical...

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Main Authors: Phornsawan Wasinghon, Chyi-Long Lee
Format: Article
Language:English
Published: Medical Network 2020-08-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/857
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author Phornsawan Wasinghon
Chyi-Long Lee
author_facet Phornsawan Wasinghon
Chyi-Long Lee
author_sort Phornsawan Wasinghon
collection DOAJ
description A 50-year-old woman presented with symptoms of abnormal uterine bleeding. Ultrasonography showed an intrauterine cavity nodule sized approximately 2 cm. A hysteroscopic resection was diagnosed. The histopathology revealed high-grade endometrial stromal sarcoma. The surgery was laparoscopic surgical staging with indocyanine green sentinel lymph node mapping. Two positive indocyanine green sentinel lymph node of the right and left pelvic nodes showed no nodal metastasis. Also, the five positive indocyanine green sentinel lymph node showed no nodal metastasis. The occult lymph nodes were dissected at the right and left pelvic nodes for nodes 4 and 9, respectively. Conclusively, hysteroscopic resection is beneficial for the diagnosis of uterine sarcoma. Notwithstanding, laparoscopy can be used for uterine cancer and the indocyanine green sentinel lymph node showed no false negative. The patient was stage IA.
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publishDate 2020-08-01
publisher Medical Network
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-62cf789315814673b6cd0799d198b9802025-02-11T21:27:15ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182020-08-0126210.21613/GORM.2018.857663Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal SarcomaPhornsawan Wasinghon0Chyi-Long Lee1Department Obstetrics and Gynecology, Buddhachinnaraj Hospital, Phitsanulok, ThailandDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung University College of Medicine, Linkou, TaiwanA 50-year-old woman presented with symptoms of abnormal uterine bleeding. Ultrasonography showed an intrauterine cavity nodule sized approximately 2 cm. A hysteroscopic resection was diagnosed. The histopathology revealed high-grade endometrial stromal sarcoma. The surgery was laparoscopic surgical staging with indocyanine green sentinel lymph node mapping. Two positive indocyanine green sentinel lymph node of the right and left pelvic nodes showed no nodal metastasis. Also, the five positive indocyanine green sentinel lymph node showed no nodal metastasis. The occult lymph nodes were dissected at the right and left pelvic nodes for nodes 4 and 9, respectively. Conclusively, hysteroscopic resection is beneficial for the diagnosis of uterine sarcoma. Notwithstanding, laparoscopy can be used for uterine cancer and the indocyanine green sentinel lymph node showed no false negative. The patient was stage IA.https://gorm.com.tr/index.php/GORM/article/view/857EndometrialStromal sarcomaSentinel lymph nodeLaparoscopyUterine sarcoma
spellingShingle Phornsawan Wasinghon
Chyi-Long Lee
Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma
Gynecology Obstetrics & Reproductive Medicine
Endometrial
Stromal sarcoma
Sentinel lymph node
Laparoscopy
Uterine sarcoma
title Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma
title_full Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma
title_fullStr Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma
title_full_unstemmed Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma
title_short Laparoscopic Sentinel Node Mapping with Surgical Staging following Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma
title_sort laparoscopic sentinel node mapping with surgical staging following hysteroscopic endometrial resection in endometrial stromal sarcoma
topic Endometrial
Stromal sarcoma
Sentinel lymph node
Laparoscopy
Uterine sarcoma
url https://gorm.com.tr/index.php/GORM/article/view/857
work_keys_str_mv AT phornsawanwasinghon laparoscopicsentinelnodemappingwithsurgicalstagingfollowinghysteroscopicendometrialresectioninendometrialstromalsarcoma
AT chyilonglee laparoscopicsentinelnodemappingwithsurgicalstagingfollowinghysteroscopicendometrialresectioninendometrialstromalsarcoma