Sentinel Lymph Node Biopsy
Conditions
Brief summary
Evaluation of sensitivity of Sentinel lymph nodes for detecting nodal metastases in cervical cancer
Detailed description
Consecutive women with stage 1a2-2a1 cervical cancer scheduled for surgery will be approached for eligibility by defined criteria. Sentinel nodes will be detected by a combined use of Indocyanine green and Tc99 radiocolloid ( first 75 patients) and for the continuation with either the combined use or the best performing of those tracers. Technical success rates, adverse events (related study intervention and overall) sensitivity and negative predictive values will be estimated. An interim analyse will be performed after 34 node positive patients based on the Fleming two stage analyse. The null hypothesis of sensitivity of 85% will be tested against an estimated sensitivity of 95%. At this stage the study may be closed for futility, closed as hull hypothesis is rejected or continued to reach another 28 node positive patients. As a full pelvic lymphadenectomy will be performed after detection of sentinel nodes patient will act ast their own controls.
Interventions
The study intervention is the injection of tracer followed by detection and removal of sentinel lymph nodes
Sponsors
Study design
Intervention model description
prospective cohort study
Eligibility
Inclusion criteria
* Women of age 18 years and older at the time of informed consent. * Women with a pathologically proven cervical carcinoma of any histologic subtype, clinically stage 1a2- 2a1 planned for primary surgery * Absence of any
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sentinel node detection in cervical cancer; Sensitivity and negative predictive values for identifying pelvic nodal disease, See detailed study protocol | 4-5 years | Detection of Sentinel nodes followed by full pelvic lymphadenectomy |
Countries
Sweden