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Intermediate Technical IVT

sentinel lymph node

Also written as: SLN — Sentinel Lymph Node

First lymph node to receive drainage from a primary tumor, used for staging assessment.

Full Definition

A sentinel lymph node (SLN) is the first lymph node or group of nodes to receive lymphatic drainage from a primary tumor site. In gynecologic oncology, sentinel lymph node mapping is increasingly used in cervical and endometrial cancers to guide surgical decision-making and reduce morbidity associated with complete lymphadenectomy. The technique involves injection of dyes or radiotracers to identify these key nodes for pathological assessment.

Usage

Usage note: Specify bilateral vs. unilateral mapping when documenting.

In Context

  • "Bilateral sentinel lymph nodes were successfully identified and removed for pathological analysis." — operative report
  • "Sentinel lymph node mapping avoided the need for complete pelvic lymphadenectomy." — surgical decision-making

Also known as

SLN guard node

Contrasted with

non-sentinel node

Don't confuse with

regional lymph node suspicious lymph node

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