Avaliação do linfonodo sentinela no câncer de endométrio: uma análise secundária

Abstract

Introduction: Endometrial Cancer (EC) is currently one of the leading neoplasms affecting the female sex. It is the most common gynecological cancer in developed countries, affecting mainly women in the postmenopausal period. Although lymphatic dissemination is the major route of spread of the endometrial cancer, the role of lymphadenectomy for women with this type of tumor in the early stages is still controversial. To avoid complications of systematic lymphadenectomy in patients with endometrial cancer, many authors have been advocating an identification of the sentinel lymph node. The establishment of this kind of procedure can replace the systematic lymphadenectomy that occurs today, reducing morbidity to patients. Methodology: This study will be carried out with secondary data analysis obtained through a systematic review of case reports using MEDLINETM, SCOPUSTM and LILACS databases. Studies not written in Portuguese or English languages will not be included as well as those which are not case reports or those that do not dispose the free full text for analysis. Results: After the selection of the articles, 8 articles matched the requirements of the proposal and those articles reported 9 patients. 5 articles were published in Europe. 1 article presented the parturition number. Most patients are in the 6th decade of life. 2 articles have reported BMI. 5 patients were classified as stage II EC. Conclusion: The majority of the reports came from Europe. The Indocyanine Green was used in 33% of the procedures. Only 2 patients presented metastasis, but no micrometastasis were identified. A secondary data analysis review through case reports is a good methods of scientific research for beginners. The lack of detail of the characteristics of the reported patients constitutes the main difficulty in this type of research.