Endometrial Neoplasms
Conditions
Keywords
sentinel node procedure, radiocolloid, patent blue
Brief summary
The purpose of this study is to investigate the relevance of sentinel node in endometrial cancer. Sentinel node is thought to reflect the status of lymph node. Only 10 to 20% of women with endometrial cancer exhibit lymph node metastasis hence systematic lymphadenectomy is questionable. In breast cancer, melanoma and vulvar cancer, sentinel node has emerged as an alternative to complete lymphadenectomy.
Detailed description
To investigate the relevance of sentinel node in endometrial cancer. Sentinel node is though to reflect the status of lymph node. Only 10 to 20% of women with endometrial cancer exhibit lymph node metastasis hence systematic lymphadenectomy is questionable. In breast cancer, melanoma and vulvar cancer, sentinel node has emerged as an alternative to complete lymphadenectomy. The objective of our trial is to validate the concept of sentinel node in endometrial cancer.
Interventions
Coelioscopy or laparotomy (based on the tumor size) after a colorimetric tracer injection
Sponsors
Study design
Eligibility
Inclusion criteria
* patient over 18 years old with a surgery planned for endometrial cancer * endometrial cancer proved by biopsy * early stage of endometrial cancer (FIGO stage 1-2) * without contraindication to surgery * inform consent signed * affiliated to general health system
Exclusion criteria
* endometrial cancer FIGO stages 3-4 * previous history of surgery modifying lymphatic drainage (conization myomectomy) * pregnant women or breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detection and false negative rates of sentinel node | During the surgery (hysterectomy) |
Secondary
| Measure | Time frame |
|---|---|
| Morbidity and recurrence rates | During 24 months |
Countries
France