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FAQs

  1. What is a sentinel lymph node biopsy?
  2. How is a sentinel lymph node biopsy related to the field of gynecology?
  3. What are the potential benefits and risks of a sentinel lymph node biopsy in gynecology?

Doctor’s Tip

One helpful tip a doctor might tell a patient about sentinel lymph node biopsy is to make sure to follow all pre-operative instructions provided by the medical team, such as fasting before the procedure and avoiding certain medications. It is also important to discuss any concerns or questions with the doctor beforehand to ensure a smooth and successful biopsy procedure. Additionally, after the biopsy, the patient should closely monitor the surgical site for any signs of infection or unusual symptoms and report them to their healthcare provider immediately.

Suitable For

Sentinel lymph node biopsy is typically recommended for patients with early-stage breast cancer, melanoma, or certain types of gynecologic cancers, such as cervical or vulvar cancer. It is also recommended for patients with other types of cancer that have a high risk of spreading to the lymph nodes.

Timeline

Before sentinel lymph node biopsy:

  1. Patient is diagnosed with cancer, such as breast cancer or melanoma, and is recommended for sentinel lymph node biopsy to assess the spread of the cancer to nearby lymph nodes.
  2. Patient undergoes preoperative testing and imaging to determine the location of the sentinel lymph node.
  3. Patient is informed about the procedure, risks, and benefits, and gives consent for the biopsy.
  4. On the day of the surgery, patient is prepared for the procedure, which may involve anesthesia.

After sentinel lymph node biopsy:

  1. The sentinel lymph node is identified and removed during the surgery.
  2. The lymph node is sent to the pathology lab for analysis to determine if cancer cells are present.
  3. Patient may experience some pain, swelling, or bruising at the surgical site after the procedure.
  4. Results of the biopsy are typically available within a few days to a week.
  5. Depending on the results, further treatment options may be discussed with the patient, such as additional surgery, chemotherapy, or radiation therapy.
  6. Patient may be monitored closely for any signs of complications or recurrence of the cancer.

What to Ask Your Doctor

  1. Why do I need a sentinel lymph node biopsy?
  2. What are the risks and benefits of having a sentinel lymph node biopsy?
  3. How will the procedure be performed?
  4. Will I need to have any special preparations before the biopsy?
  5. What is the likelihood of complications from the procedure?
  6. How long will it take to get the results of the biopsy?
  7. What will happen if the biopsy shows cancer in the sentinel lymph node?
  8. Will I need any additional treatments or surgeries based on the biopsy results?
  9. How will the biopsy affect my recovery and overall treatment plan?
  10. Are there any alternative options to a sentinel lymph node biopsy that I should consider?

Reference

Authors: Frumovitz M, Buda A. Journal: Int J Gynecol Cancer. 2020 Mar;30(3):281-282. doi: 10.1136/ijgc-2020-001240. PMID: 32122947