Status:

RECRUITING

Randomized Comparison Between Sentinel Lymph Node Biopsy and Lymph Node Dissection in Early Stage Endometrial Cancer

Lead Sponsor:

Asan Medical Center

Conditions:

Endometrial Cancer

Eligibility:

FEMALE

20-80 years

Phase:

NA

Brief Summary

Through this clinical trial, the investigators aim to verify the usefulness and stability of sentinel lymph node mapping in endometrial cancer of clinical stage I-II.

Detailed Description

The standard treatment for endometrial cancer is total hysterectomy and bilateral salpingo-oophorectomy, peritoneal cytology, and lymph node dissection. Pelvic lymph node dissection helps to set accur...

Eligibility Criteria

Inclusion

  • 20 \~ 80 years old female
  • histologically diagnosed endometrial cancer that has never been treated before.
  • histological type :endometrioid, mucinous, serous, clear cell, uindifferentiated, dedifferentiated, mesonephric adenocarcinoma, mesonephric-like adenocarcinoma, carcinosarcoma, and mixed type
  • histological grade : FIGO grade 1, 2, 3
  • Presumed FIGO stage I-II
  • Planed for laparoscopic or robotic hystererctomy and lymph adenectomy
  • Largest pelvic or para-aortic lymph node diameter = or \< 15 mm in short axis on MRI
  • ECOG performance status 0-2
  • ASA PS 0-2
  • WBC ≥ 3,000/mm3, Platelets ≥ 100,000/mm3, Creatinine ≤ 2.0 mg/dL ,Bilirubin ≤ 1.5 x institutional upper limit normal ,SGOT, SGPT, and ALP ≤ 3 x institutional upper limit normal
  • A patient who voluntarily signed a document for the study.

Exclusion

  • Presumed FIGO stage III-IV
  • Neuroendocrine tumor histology
  • Other disease involving lymphatic system
  • lymphedema of the lower extremity or inguinal area
  • previous pelvic or paraaortic lymph node dissection
  • previous radiation or concurrent chemoradiation therapy of abdomen or pelvis
  • previous chemotherapy due to malignant disease of abdomen or pelvis
  • Patients who have had or have been treated for cancer within five years, other than non-melanoma skin cancer, carcinoma in situ of uterine cervix, stomach or bladder
  • severe, uncontrolled underlying diseases or underlying disease with complications
  • hypersensitivity to indocyanine green
  • a pregnant or breast-feeding woman

Key Trial Info

Start Date :

January 26 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2029

Estimated Enrollment :

810 Patients enrolled

Trial Details

Trial ID

NCT04845828

Start Date

January 26 2022

End Date

December 1 2029

Last Update

February 21 2022

Active Locations (1)

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Asan Medical Center

Seoul, South Korea