Obstet Gynecol Sci.  2021 Nov;64(6):552-554. 10.5468/ogs.21164.

Videoendoscopic sentinel lymph node detection with icg and bilateral inguinofemoral lymphadenectomy in vulvar cancer comba-ozdemir technique

• Comba C
• Erdogan SV
• Erdogan A
• Bagdatli A
• Atas BS
• Demir O
• Ozdemir IA

• KMID: 2522480
• DOI: http://doi.org/10.5468/ogs.21164

Abstract

Objective
The authors present a surgical film for vulvar cancer surgery, which was performed via video endoscopy.
Methods
An 88-yearold woman with squamous cell carcinoma of the vulva and who underwent radical vulvectomy was treated with sentinel lymph node (SLN) and bilateral inguinofemoral lymphadenectomy, which is preferably performed via video endoscopic surgery with a near-infrared fluorescence video endoscopy system. SLN mapping was performed using indocyanine green and near-infrared fluorescence mapping.
Results
SLNs were detected in the left superficial inguinal area. The surgeons performed bilateral inguinofemoral lymphadenectomy.
Conclusion
No postoperative early or late complications developed, and the patient was discharged 7 days after surgery. Stage 1B vulvar cancer was identified.

Keyword

Sentinel lymph node biopsy; Minimally invasive surgery; Vulvar cancer

Reference

References

1. Jeon SE, Lee J, Jung HJ, Kim BJ, Ryu SY, Park SI, et al. An extremely rare elderly case of proximal epithelioid sarcoma of the vulva: case report with a review of literatures. Obstet Gynecol Sci. 2020; 63:670–4.

2. Tobias-Machado M, Tavares A, Silva MN, Molina WR Jr, Forseto PH, Juliano RV, et al. Can video endoscopic inguinal lymphadenectomy achieve a lower morbidity than open lymph node dissection in penile cancer patients? J Endourol. 2008; 22:1687–91.

3. Te Grootenhuis NC, van der Zee AG, van Doorn HC, van der Velden J, Vergote I, Zanagnolo V, et al. Sentinel nodes in vulvar cancer: long-term follow-up of the GROningen INternational Study on Sentinel nodes in Vulvar cancer (GROINSS-V) I. Gynecol Oncol. 2016; 140:8–14.

4. Gonzalez Bosquet J, Magrina JF, Magtibay PM, Gaffey TA, Cha SS, Jones MB, et al. Patterns of inguinal groin metastases in squamous cell carcinoma of the vulva. Gynecol Oncol. 2007; 105:742–6.