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to assess and compare the performance two approaches for sentinel lymph node ( SLND) biopsy
Endometrial cancer is the most common gynecologic cancer. Most patients diagnosed in early stages because cancer causes remarkable symptoms such as postmenopausal or abnormal bleeding. Mostly, it does not spread, detects no metastasis. Endometrial carcinoma is surgically staged. Laparotomy or minimally invasive surgery can be performed for treatment and staging. Patients have been operated for staging surgery, have a larger surgical incision, longer operation period, more complications, more intensive care units need. Nowadays, researchers show us that there is no difference in overall survival and prognosis between surgery with or without lymphadenectomy in endometrial cancer. With all these improvements in gynecologic oncology leads us to minimally invasive surgery. Patients undergo sentinel lymph node detection by using fluorescence imaging with an indocyanine green solution. Two different ways used to assess SLND. The first group who the cervix is injected superficially with 1 mL of ICG ( indocyanine green) at 4 and 8 o'clock quadrans. The second group who ICG has injected the uterine cavity during hysteroscopy. The investigator's aim is to assess and compare the performance of two approaches for sentinel lymph node ( SLND) biopsy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| assesment SLND with enjection by using ICG | Patients who have endometrium cancer; undergo sentinel lymph node detection by using fluorescence imaging with an indocyanine green solution. Two different ways used to assess SLND. The first group in which the cervix is injected superficially with 1 mL of ICG ( indocyanine green) at 4 and 8 o'clock quadrans. |
| |
| assesment SLND with hysterescopy by using ICG | Patients who have endometrium cancer; undergo sentinel lymph node detection by using fluorescence imaging with an indocyanine green solution. Two different ways used to assess SLND. The second one which ICG has injected the uterine cavity during hysteroscopy. Our aim is to assess and compare the performance two approaches for sentinel lymph node ( SLND) biopsy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Indocyanine green solution | Drug | Indocyanine green (ICG) is a cyanine dye used in medical diagnostics.ICG is a fluorescent dye that is used in medicine as an indicator substance. |
| Measure | Description | Time Frame |
|---|---|---|
| SLN detecting rate | SLN is the first lymph node to spread tumoral cells. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | Overall survival of endometrial cancer measures as five years | 5 years |
| Disease free survival | Disease free survival can be describe with no tumor occurance after surgery |
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Inclusion Criteria:
Exclusion Criteria:
Female
patients who have experienced endometrial cancer surgery
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Cihan Comba, M.D. | Contact | +90505 473 53 63 | comba.cihan@yahoo.com.tr | |
| Busra Atas, M.D. | Contact | +905347119889 | bussraseker@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Cihan Comba, M.D. | Sultangazi Haseki Training and Research Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cihan Comba | Recruiting | Istanbul | Sultangazi | 34265 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D016889 | Endometrial Neoplasms |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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|
| 5 years |
| D009369 |
| Neoplasms |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |