Sentinel lymph node mapping in endometrial cancer: Current evidence and practice

Abstract

Surgical staging with total hysterectomy, bilateral salpingo‐oophorectomy, and lymph node assessment is the standard of care for patients with clinical early‐stage endometrial cancer. Traditionally, complete pelvic and para‐aortic lymphadenectomy (LND) was performed to assess for nodal metastases; however, numerous prospective studies have demonstrated that sentinel lymph node biopsy has similar diagnostic accuracy, and is an acceptable alternative to complete LND. This has led to a paradigm shift in endometrial cancer staging.