A Reappraisal of Lymphadenectomy in Common Gynecological Cancers

Objectives: Lymph node dissection (LND) in gynecological malignancies has always been a cornerstone the diagnosis of metastasis, it is also considered an important prognostic factor, and reliable guide to management strategies. However, its incidence complications, namely lymphedema, vascular injuries other lesions, led reconsideration efficacy comparison role systematic vs. sentinel lymph (SLN) dissection. Mechanism: Review literature using keywords such as “lymph nodes”, “sentinel “morbidity mortality”, “gynecological cancers”, “endometrial cancer”, “ovarian “cervical cancer”. Findings Brief: In case endometrial cancer, several studies have investigated SLN compared with LND. Most results demonstrated added benefit lower morbidity. patients ovarian mainstay treatment debulking optimal cytoreductive surgery. Recent lymphadenectomy non-lymphadenectomy, additional advantage cases lymphadenectomy. since publication, cancers (LIONS) trial, revolutionized standard care for advanced cancer called into question increased morbidity mortality cervical cancers, status be most factor. this case, limiting borders inferior mesenteric artery seems promising, are currently being carried out investigate feasibility instead Conclusions: associated mortality, shown superior studies. more research specific guidelines needed better select either one or method cancers.