Declaration statement
Authors declare no conflict of interest
Sentinel node represents a necessary surgical staging procedure both in
cases with intermediate and low-risk endometrial cancer patients. The
main approach of performance is laparoscopic. However, even in cases of
large myomatous uterus with already diagnosed endometrial cancer where
laparoscopical resection is not feasible, it is still possible to
perform the method with open surgical technique. Surgery follows exactly
the same sequence of surgical acts, which are the vaginal enclosement of
cervical canal, the injection of ICG in 3rd and
9th hour of cervix, while after the incision and
entrance to abdominal cavity, the same surgical sequence is performed as
described by Adu-Rustum et al. We hereby present the clinical image of a
large uterus with previously diagnosed intermediate-risk endometrial
cancer, in which open detection of sentinel node was achieved with the
usage of a laparoscopic camera handled by the assistant (Figure
1). Detection of sentinel node permitted the avoidance of unnecessary
complimentary treatment, as sentinel node was successfully detected, it
was bilaterally negative and the patient was finally set into simple
surveillance due to fully achieved surgical staging.