Sentinel Lymph Node Biopsy Based on Anatomical Landmarks and
Locoregional Mapping of Inguinofemoral Sentinel Lymph Nodes in Women
with Vulval Cancer: an Operative Technique.
AbstractInguinal lymph node involvement is the most robust predictor of
mortality in women with vulval cancer and sentinel lymph node biopsy is
recognised as a safe diagnostic modality provided strict patient
criteria as defined by the GROINSS-V study are respected. Studies have
largely concentrated on the efficacy of different intraoperative
detection modalities or histopathological protocols whilst the
literature describing a standardised surgical technique remains
deficient. We hereby propose a reproducible operative technique based on
anatomical landmarks and an appreciation of the territorial mapping of
inguinal sentinel lymph nodes.