Sentinel Lymph Node Mapping (SLNM) in cases of endometrial cancer using ICG

This video shows the application of the Quest Spectrum Platform for the detection of the SLN.

In this procedure a sentinel lymph node (SLN) is detected in a laparoscope based minimal invasive surgery using ICG as a fluorescent marker. ICG accumulates in the SLN and assists in the detection and excision of the lymph node.

Sentinel lymph node mapping is an ideal technique for detection of sentinel lymph nodes in cervical cancer patients with excellent detection rates and high sensitivity.

Mentioned articles also propose that a routine clinical evaluation of sentinel lymph nodes is feasible and a real-time fluorescence mapping with indocyanine green dye and gives better statistically significant overall and bilateral detection than methylene blue.

Links to supporting literature:

Sentinel Lymph Nodes Mapping in Cervical Cancer a Comprehensive Review
Yasser Diab
International Journal of Gynecological Cancer. 2017; 27(1):154-158.

Motivations to choose ICG in case of SLNM:

  • Better detection with ICG
  • High detection rate
  • Fit for routine use

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