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Updated: Jul 9, 2025

Multispectral Real-time Fluorescence Imaging for Intraoperative Detection of the Sentinel Lymph Node in Gynecologic Oncology
Published on: October 20, 2010
Indocyanine green fluorescence imaging: an effective method to find inguinal sentinel lymph node in a case of vulvar
Silvia Von Wunster1, Paola Algeri2, Laura Colonna1
1Department of Obstetrics and Gynaecology, ASST Bergamo EST-Pesenti Fenaroli Hospital, Bergamo, Italy.
Abstract:
The aim was to demonstrate that the technique of near infrared range/indocyanine green (NIR/ICG) could aid the detection of inguinal sentinel lymph nodes in patients with vulvar cancer, in addition to technetium-99m (Tc-99m) scanning. We present a case report of sentinel lymph node detection in a patient with vulvar cancer with two methods: Tc-99m scan and NIR/ICG. The video showed that bilateral inguinal lymph nodes were detected both by Tc gamma probe and NIR/ICG. NIR/ICG may be a safe and effective alternative method for identifying sentinel lymph nodes in cases of early-stage vulvar cancer, although more evidence is required.

