<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-5830</journal-id>
<journal-title><![CDATA[Acta Obstétrica e Ginecológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Obstet Ginecol Port]]></abbrev-journal-title>
<issn>1646-5830</issn>
<publisher>
<publisher-name><![CDATA[Euromédice, Edições Médicas Lda.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-58302022000300235</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Biópsia de gânglio sentinela no cancro vulvar em estadio precoce: revisão de literatura a propósito de 18 casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Sentinel lymph node biopsy in early vulvar cancer: an 18-case series]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Susana Lima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Melo]]></surname>
<given-names><![CDATA[Ângela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[João]]></surname>
<given-names><![CDATA[Manuel Faria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Nuno Nogueira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Tondela-Viseu Serviço de Ginecologia e Obstetrícia ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Tondela-Viseu Serviço de Anatomia Patológica ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Tomografia Computorizada  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>16</volume>
<numero>3</numero>
<fpage>235</fpage>
<lpage>251</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-58302022000300235&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-58302022000300235&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-58302022000300235&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Visão geral e objetivos:  No cancro vulvar inicial, o estadiamento ganglionar é o fator prognóstico mais importante. A biópsia de gânglio sentinela (BGS) é o procedimento minimamente invasivo que ocasiona a redução mais significativa da elevada morbilidade associada à clássica linfadenectomia inguinofemoral sistemática. Além do controlo de qualidade, o objetivo deste estudo é documentar e monitorizar a experiência geral acerca da BGS num Centro de referência.  Desenho do estudo:  Estudo retrospetivo.  População:  Todos os casos de carcinoma vulvar em que a BGS foi realizada como parte integrante do tratamento para cancro vulvar no Departamento dos autores, de Janeiro de 2016 a Dezembro de 2019, cumprindo os seguintes critérios: tumor unifocal confinado à vulva, tamanho do tumor &lt; 4 cm, invasão estromal &gt; 1 mm e sem evidência de metástases inguinais.  Métodos:  Descrição detalhada da técnica utilizada na linfocintigrafia, BGS, tratamento do tumor primário e histopatologia com análise de processos clínicos dos pacientes, recolhendo dados demográficos, patológicos, de acurácia, acerca da cirurgia, resultados perioperatórios, de exequibilidade e de sobrevida.  Resultados:  A média de idades foi de 68 anos e o Índice de Charlson &#8805; 5 foi de 55.6%. O local primário foi o grande lábio em 44.4% e a linha mediana foi afetada em 27.8%. O diâmetro médio do tumor foi de 20.2 mm. A taxa de deteção do GS foi de 100%, bilateral em 27.8%. 1 dos 38 gânglios linfáticos removidos foi positivo e o número médio de gânglios removidos por paciente foi de 2.1. Não se registaram complicações intraoperatórias. Um caso único de recorrência inguinal em 15 meses de tempo médio de seguimento e dois casos de óbitos não relacionados com a doença ocorreram. 27.8% e 5.6% dos pacientes tiveram complicações pós-operatórias de curto e longo prazo, respetivamente, principalmente de causa infeciosa. A média de sobrevida global/sobrevida livre de doença foi de 45.1/44.7 meses.  Conclusões:  A BGS é uma técnica minimamente invasiva confiável e segura que deve ser realizada por ginecologistas oncológicos experientes, em Centros multidisciplinares bem equipados. Um planeamento pré-operatório rigoroso aliado a uma coordenação cirúrgica multidisciplinar são os pilares para o sucesso deste procedimento aplicado ao cancro da vulva em estadio inicial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Overview and Aims:  In early vulvar cancer, lymph node status is the most important prognostic factor. Sentinel lymph node biopsy (SLNB) is the minimally invasive procedure that leads to the most significant reduction in the classical high morbidity associated with the systematic inguinofemoral lymphadenectomy. Besides quality control, the aim of this study is to document and monitor the overall experience around SLNB at a referral Centre.  Study design:  Retrospective study.  Population:  All cases of vulvar carcinoma where SLNB was performed as part of the treatment for vulvar cancer at the authors&#8217; Department, from January, 2016 to December, 2019 meeting the criteria: unifocal tumour confined to the vulva, tumour size &lt; 4 cm, stromal invasion &gt; 1 mm and no evidence of inguinal metastasis.  Methods:  Detailed description of the technique used in lymphoscintigraphy, SLNB, primary tumour treatment and histopathology with analysis of patient files collecting data of demographics, pathology, accuracy, surgery, perioperative results, feasibility and survival.  Results:  The average age was 68 years and Charlson score &#8805; 5 was 55.6%. Primary site was labia majora in 44.4% and mid-line was affected in 27.8%. Mean tumour diameter was 20.2 mm. SLN detection rate was 100%, bilateral in 27.8%. 1 out of 38 nodes removed was positive and average number of nodes per patient was 2.1. There were no intraoperative complications. A single case of groin recurrence in 15 months mean follow-up time and 2 cases of non-related deaths occurred. 27.8% and 5.6% patients had short and long-term postoperative complications, respectively, mostly infectious. The average global survival/disease-free survival was 45.1/44.7 months.  Conclusions:  SLNB is a reliable and safe minimally invasive technique that should be performed by experienced gynaecological oncologists in well-equipped and multidisciplinary Centres. A rigorous preoperative planning combined with multidisciplinary surgical coordination are cornerstones for the success of this procedure applied to early-stage vulvar cancer.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Neoplasia vulvar]]></kwd>
<kwd lng="pt"><![CDATA[Biópsia de gânglio sentinela]]></kwd>
<kwd lng="pt"><![CDATA[Procedimentos cirúrgicos minimamente invasivos]]></kwd>
<kwd lng="pt"><![CDATA[Estadiamento de neoplasia]]></kwd>
<kwd lng="pt"><![CDATA[Prognóstico]]></kwd>
<kwd lng="en"><![CDATA[Vulvar neoplasm]]></kwd>
<kwd lng="en"><![CDATA[Sentinel lymph node biopsy]]></kwd>
<kwd lng="en"><![CDATA[Minimally invasive surgical procedures]]></kwd>
<kwd lng="en"><![CDATA[Neoplasm staging]]></kwd>
<kwd lng="en"><![CDATA[prognosis]]></kwd>
</kwd-group>
</article-meta>
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