P-06 The utilization of sentinel lymph node sampling in early-stage cervical cancer: A survey of UK practice
Aggarwal, Aakriti Leung, Elaine Morrison, Jo Butler, John Kehoe, Sean Soleymanimajd, Hooman
Aggarwal, Aakriti
Leung, Elaine
Morrison, Jo
Butler, John
Kehoe, Sean
Soleymanimajd, Hooman
Glos Author
Date
2025-08-17
Subject
Type
Conference Abstract
Collections
Abstract
Background: Sentinel lymph node (SLN) sampling during gynaecological oncology surgery can enable precision surgery, decrease morbidity and improve oncological outcomes. Inspite of many studies, its use in early-stage cervical cancer is relatively recent, with marked heterogeneity in utility across the UK.
Objectives: To explore UK gynaecological oncology experts' current practices, challenges, and attitudes to SLN sampling for the management of early-stage cervical cancer. Secondary objective was to reflect on indications and modalities of SLN sampling especially in the context of fertility-preservation.
Methods: An online survey questionnaire was developed in partnership with a group of UK-based gynaecological oncologists. Following approval by the British Gynaecological Cancer Society (BGCS) survey committee, it was distributed to BGCS members for a six-week period. Thirty-two responses were received in this timeframe.
Results: The survey revealed that 80.8% of respondents use SLN sampling for gynaecological oncology patients within their hospital. Utilization was higher for endometrial and vulval cancers (76.2%), with possible underuse in cervical cancer (66.7%). Barriers included limited familiarity with the procedure and concerns regarding reliability. Only a small proportion of respondents use (open or laparoscopic) SLN sampling alone. Notably, 100% of participants expressed a willingness to transition to this technique. Further efforts need to be directed towards education and training for SLN mapping in early-stage cervical cancer. Furthermore, we propose the creation of a prospective UK surgical database/registry specifically for early-stage cervical cancer to help monitor trends in treatment and identify gaps. Ultimately, this will pave the way for standardization of SLN sampling protocols.
Citation
Aggarwal et al (2025). P-06 The utilization of sentinel lymph node sampling in early-stage cervical cancer: A survey of UK practice. BJOG. 132 (S7): 3-101.
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