Apply value of sentinel lymph node detection in patients with cervical cancer / 中国基层医药

ABSTRACT

Objective To probe into the clinical apply value of sentinel lymph node detection in patients with cervical cancer.Methods 33 patients with cervical cancer underwent SLNS detection by using blue dye or methlene blue 4ml or lymphazurin was injected into the cervix at 4 points around the tumor at the time of radical hysterectomy and bilateral pelvic lymphadenectomy1 tumor characteristics surgical findings and specific locations of lymphatic dye uptake were recorded and correlated with final pathology results.Results Among 33 patients undergone this detection,dye uptake was not seen in 1 patient,dye uptake was seen in 32 patients,the SLNS were successfully detected in 81.25%(26/32);7 patients didn't discriminated SLN,the rate was 21.88%(7/32).There were 6 cases who were discovered pelvic cavity lymph nodes metastases in 26 patients discriminated SLN successfully,in all 12 piece metastases lymph nodes were SLN,sensitivity was 6/6,accuracy was 100%(26/26),fake negative rate was 0.Conclusion Sentinel lymph node dectection by the way of blue dye has more clinical apply value in patients with cervical cancer.