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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.3
- 수록면
- 223 - 225 (3page)
- DOI
- https://doi.org/10.5468/ogs.21335
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초록· 키워드
오류제보하기
ObjectiveTo demonstrate near-infrared fluorescence image-guided inguinal sentinel lymph node (SLN) biopsy in patients withvulvar cancer.
MethodsA 40-year-old woman with a 3-cm-sized palpable left vulvar mass was diagnosed with vulvar cancer on biopsy withprotrusion into the vaginal cavity. Pelvic contrast-enhanced magnetic resonance imaging and F-18 fluorodeoxyglucosepositron-emission tomography-computed tomography showed a small ulcerative enhancing lesion confined to theleft vulva without distant metastasis. The patient was scheduled for radical vulvectomy with a left inguinal SLNbiopsy. Indocyanine green was injected directly into the vulvar mass to map lymphatic drainage. A 4-cm-sized linearincision was made on the left inguinal crease, and the lymphatic channels of the left inguinal area were dissectedunder fluorescent image guidance using a 1588 Advanced Imaging Modalities Platform laparoscopic camera (Stryker,Kalamazoo, MI, USA).
ResultsFluorescence image-guided left inguinal SLN biopsy and radical vulvectomy were performed. The pathologic diagnosisconfirmed vulvar adenoid cystic carcinoma with metastasis to the left inguinal lymph node (International Federationof Gynecology and Obstetrics stage IIIA). The patient was discharged without complications and received adjuvantradiotherapy.
ConclusionThis video demonstrates a successful ICG fluorescence image-guided left inguinal SLN biopsy in a vulvar cancer patientusing a laparoscopic camera. Mapping of inguinal SLNs in patients with vulvar cancer may help in retaining surgicalradicality while minimizing operative complications.
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