Objective. Sentinel lymph node mapping (SNM) has gained popularity in managing apparent early-stage endometrial cancer (EC). Here, we evaluated the long-term survival of three different approaches of nodal assessment.Methods. This is a multi-institutional retrospective study evaluating long-term outcomes of EC patients hav-ing nodal assessment between 01/01/2006 and 12/31/2016. In order to reduce possible confounding factors, we applied a propensity-matched algorithm.Results. Overall, 940 patients meeting inclusion criteria were included in the study, of which 174 (18.5%), 187 (19.9%), and 579 (61.6%) underwent SNM, SNM followed by backup lymphadenectomy (LND) and LND alone, respectively. Applying a propensity score matching algorithm (1:1:2) we selected 500 patients, including 125 SNM, 125 SNM/backup LND, and 250 LND. Baseline characteristics of the study population were similar between groups. The prevalence of nodal disease was 14%, 16%, and 12% in patients having SNM, SNM/backup LND and LND, respectively. Overall, 19 (7.6%) patients were diagnosed with low volume nodal disease. The survival analysis comparing the three techniques did not show statistical differences in terms of disease-free (p = 0.750) and overall survival (p = 0.899). Similarly, the type of nodal assessment did not impact survival outcomes after stratification based on uterine risk factors.Conclusion. Our study highlighted that SNM provides similar long-term oncologic outcomes than LND.(c) 2022 Elsevier Inc. All rights reserved.
Evaluating long-term outcomes of three approaches to retroperitoneal staging in endometrial cancer / Bogani, Giorgio; Di Donato, Violante; Papadia, Andrea; Buda, Alessandro; Casarin, Jvan; Multinu, Francesco; Plotti, Francesco; Cuccu, Ilaria; D'Auge, Tullio Golia; Gasparri, Maria Luisa; Pinelli, Ciro; Perrone, Anna Myriam; Barra, Fabio; Sorbi, Flavia; Cromi, Antonella; Di Martino, Giampaolo; Palaia, Innocenza; Perniola, Giorgia; Ferrero, Simone; De Iaco, Pierandrea; Perrone, Chiara; Angioli, Roberto; Luvero, Daniela; Muzii, Ludovico; Ghezzi, Fabio; Landoni, Fabio; Mueller, Michael D; Benedetti Panici, Pierluigi; Raspagliesi, Francesco. - In: GYNECOLOGIC ONCOLOGY. - ISSN 1095-6859. - 166:2(2022). [10.1016/j.ygyno.2022.06.007]
Evaluating long-term outcomes of three approaches to retroperitoneal staging in endometrial cancer
Bogani, Giorgio;Di Donato, Violante;Cuccu, Ilaria;D'Auge, Tullio Golia;Gasparri, Maria Luisa;Di Martino, Giampaolo;Palaia, Innocenza;Perniola, Giorgia;Perrone, Chiara;Muzii, Ludovico;Benedetti Panici, Pierluigi;
2022
Abstract
Objective. Sentinel lymph node mapping (SNM) has gained popularity in managing apparent early-stage endometrial cancer (EC). Here, we evaluated the long-term survival of three different approaches of nodal assessment.Methods. This is a multi-institutional retrospective study evaluating long-term outcomes of EC patients hav-ing nodal assessment between 01/01/2006 and 12/31/2016. In order to reduce possible confounding factors, we applied a propensity-matched algorithm.Results. Overall, 940 patients meeting inclusion criteria were included in the study, of which 174 (18.5%), 187 (19.9%), and 579 (61.6%) underwent SNM, SNM followed by backup lymphadenectomy (LND) and LND alone, respectively. Applying a propensity score matching algorithm (1:1:2) we selected 500 patients, including 125 SNM, 125 SNM/backup LND, and 250 LND. Baseline characteristics of the study population were similar between groups. The prevalence of nodal disease was 14%, 16%, and 12% in patients having SNM, SNM/backup LND and LND, respectively. Overall, 19 (7.6%) patients were diagnosed with low volume nodal disease. The survival analysis comparing the three techniques did not show statistical differences in terms of disease-free (p = 0.750) and overall survival (p = 0.899). Similarly, the type of nodal assessment did not impact survival outcomes after stratification based on uterine risk factors.Conclusion. Our study highlighted that SNM provides similar long-term oncologic outcomes than LND.(c) 2022 Elsevier Inc. All rights reserved.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
