Indocyanine green fluorescent image-guided inguinal sentinel lymph node biopsy in vulvar cancer.

ABSTRACT:

Objective

To demonstrate near-infrared fluorescence image-guided inguinal sentinel lymph node (SLN) biopsy in patients with vulvar cancer.

Methods

A 40-year-old woman with a 3-cm-sized palpable left vulvar mass was diagnosed with vulvar cancer on biopsy with protrusion into the vaginal cavity. Pelvic contrast-enhanced magnetic resonance imaging and F-18 fluorodeoxyglucose positron-emission tomography-computed tomography showed a small ulcerative enhancing lesion confined to the left vulva without distant metastasis. The patient was scheduled for radical vulvectomy with a left inguinal SLN biopsy. Indocyanine green was injected directly into the vulvar mass to map lymphatic drainage. A 4-cm-sized linear incision was made on the left inguinal crease, and the lymphatic channels

SUBMITTER: Kwak YH 

PROVIDER: S-EPMC8942746 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature