Other Tumors

It is likely that the procedure of lymphatic mapping and sentinel lymphadenectomy also will be a valuable new tool in the management of penile carcinoma [49,50], the tumor for which Cabanas was the first to investigate the concept of selective lymphatic drainage [51]. Promising results have also been reported for vulvar carcinoma [52]. At present, it is only possible to speculate about the value of lymphatic mapping and sentinel lymphadenectomy for gastrointestinal and pulmonary tumors. Preliminary results in colorectal cancer, however, are not encouraging [53]. For the reliable application of the method to these tumors, more sophistication of endoscopic (and laparoscopic?) techniques is necessary. The lack of easy and reliable follow-up procedures to monitor nondissected lymph node areas in these tumors, in case of a negative sentinel node, poses a major problem.

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