Sentinel node dissection in vulvar cancer
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Tamussimo KF, Bader AA, Lax SF, et al.: Groin recurrence after micrometastasis in a sentinel lymph node in a patient with vulvar cancer. Gynecol Oncol 2002, 86:99–101. This case report emphasizes the importance of additional treatment for patients found to have micrometastases in the sentinel node.
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Louis-Sylvestre C, Evangelista E, Leonard F, et al.:Sentinel node localization should be interpreted with caution in midline vulvar cancer. Gynecol Oncol 2005, 97:151–154. These case reports demonstrate the potential pitfall of relying only on preoperative lymphoscintigraphy to identify the sentinel node with midline cancers. This underscores the importance of careful patient selection and pretreatment evaluation.