Sentinel Lymph Node Mapping

At Onco360 Cancer Centre, Dr. Vishakha P. Sinha, an experienced Breast & Gynec Onco Surgeon, offers specialized surgical care using advanced, evidence-based techniques. Every treatment plan is tailored to the patient's diagnosis, overall health, and long-term wellbeing.

Our multidisciplinary approach ensures comprehensive care from diagnosis through recovery, helping patients navigate their journey with confidence and compassion.

Conditions Where This Procedure Is Used

Dr. Vishakha Sinha uses sentinel lymph node mapping in the surgical management of:

• Early-Stage Endometrial Cancer
• Early-Stage Cervical Cancer
• Vulvar Cancer
• Selected Ovarian Cancer Cases
• High-Risk Endometrial Lesions
• Recurrent Gynecological Cancers Requiring Restaging
• Low-Risk Uterine Malignancies
• Endometrial Cancer with Deep Myometrial Invasion
• Cervical Cancer Requiring Fertility-Sparing Surgery
• Vulvar Intraepithelial Neoplasia

Symptoms

Early detection plays a vital role in successful treatment. Consult a gynecological cancer specialist if you notice:

• Abnormal vaginal bleeding
• A newly diagnosed gynecological cancer requiring staging
• Pelvic pain or discomfort
• A palpable pelvic or vulvar mass
• Swelling in the groin or lower limb
• Abnormal findings on imaging
• Persistent pelvic pressure
• Unexplained lymph node enlargement
• Recurrent symptoms after prior cancer treatment
• Concern about extent of disease spread

Causes

Sentinel lymph node mapping is performed as part of cancer staging rather than for a specific cause, but it is recommended when accurate assessment of lymph node spread is needed.

Common risk factors include:

• Confirmed or suspected gynecological malignancy
• Need to determine spread beyond the primary organ
• Desire to avoid extensive lymph node dissection
• Early-stage disease with low-risk features
• Planning for fertility-sparing surgery
• Reducing risk of lymphedema
• Guiding decisions on adjuvant therapy
• Improving accuracy of cancer staging
• Minimizing surgical complications
• Individualizing treatment based on nodal status

Treatment

Every patient receives an individualized treatment plan based on their diagnosis and stage of disease.

Treatment options include:

Dye-Based Mapping

Injection of a tracer dye near the tumor to identify draining lymph nodes.

Fluorescence-Guided Mapping

Use of fluorescent dye and specialized imaging for precise node identification.

Radioisotope-Guided Mapping

Combined with a radioactive tracer for accurate localization in select cases.

Robotic-Assisted Sentinel Node Biopsy

Minimally invasive removal of identified sentinel nodes with robotic precision.

Combined Sentinel Node Mapping with Hysterectomy

Integrated into the primary cancer surgery for streamlined staging.

Frozen Section Analysis

Rapid pathological assessment of sentinel nodes during surgery to guide further steps.

Treatment may also be combined with:

• Chemotherapy
• Radiation Therapy
• Hormone Therapy
• Targeted Therapy
• Immunotherapy

Benefits

Choosing sentinel lymph node mapping offers several advantages:

• Accurate cancer staging
• Reduced extent of lymph node removal
• Lower risk of lymphedema
• Faster recovery compared to full lymphadenectomy
• Preservation of lymphatic function
• Personalized treatment planning
• Minimally invasive approach
• Better quality of life
• Guides need for further therapy

Prevention

While this procedure is diagnostic rather than preventive, timely and accurate staging helps prevent under- or over-treatment of gynecological cancers.

• Early diagnosis of gynecological cancers
• Prompt surgical consultation after diagnosis
• Choosing centers experienced in sentinel node techniques
• Regular gynecological screening
• Awareness of abnormal bleeding or symptoms
• Genetic counseling for high-risk individuals
• Maintaining overall health before surgery
• Following post-surgical care instructions
• Regular follow-up imaging as advised
• Open communication with your surgical team

Why Choose Dr. Vishakha P. Sinha for Sentinel Lymph Node Mapping?

• Specialized Breast & Gynec Onco Surgeon
• Expertise in Sentinel Lymph Node Mapping Techniques
• Advanced Robotic & Minimally Invasive Surgery
• Reduced Risk of Lymphedema
• Personalized, Evidence-Based Treatment Plans
• Compassionate, Patient-Centered Care
• Comprehensive Cancer Care Under One Roof
• Focus on Faster Recovery & Better Quality of Life