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Superficial lymphatic drainage of the vulva and its relation to the regional nodes: an experimental study

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F22%3A10451902" target="_blank" >RIV/00216208:11110/22:10451902 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064165:_____/22:10451902

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=lPZ.KfMeBe" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=lPZ.KfMeBe</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.5603/FM.a2021.0096" target="_blank" >10.5603/FM.a2021.0096</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Superficial lymphatic drainage of the vulva and its relation to the regional nodes: an experimental study

  • Original language description

    Background: Sentinel node biopsy in vulvar cancer is associated with much less morbidity than inguinofemoral node dissection. Our study focused on describing the morphology of superficial lymphatic drainage of the vulva and its relationship to regional nodes, which may facilitate orientation during surgery.Materials and methods: In 24 female cadavers, injections of patent blue (at various localisations medially, unilaterally and bilaterally) were used to visualise the lymphatic drainage of the vulva. After dissection of lymphatic vessels and nodes, their course was documented by photograph and then analysed. Subsequently, a map of vulvar superficial lymphatics was created.Results: The cutaneous and subcutaneous tissue of the vulva primarily drained to superficial inguinal nodes. There was no evidence of a solitary lymph node that drained the unilateral vulva. Each area of the vulva drained to its own lymph node, which was variably localised in the subcutaneous groin around the great saphenous vein. Anastomoses between individual inguinal superficial lymph nodes are likely. Right-left symmetry in the course of lymphatic collectors was not detected. Natural drainage of the medial and paramedial areas to contralateral inguinal nodes was also not detected. The drainage pattern to ipsilateral inguinal nodes was consistent in cadavers without evidence of vulvar disease and may be applicable in the early stages of vulvar cancer.Conclusions: There was no evidence of a solitary node that drained the unilat-eral vulva. Each part of the vulva may drain to a corresponding lymph node in a different localisation of the groin. The surgeon should take this variability into account.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30106 - Anatomy and morphology (plant science to be 1.6)

Result continuities

  • Project

    <a href="/en/project/GA304%2F00%2F1157" target="_blank" >GA304/00/1157: Morphology of lymphatics in wound healing</a><br>

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Folia Morphologica

  • ISSN

    0015-5659

  • e-ISSN

    1644-3284

  • Volume of the periodical

    81

  • Issue of the periodical within the volume

    4

  • Country of publishing house

    PL - POLAND

  • Number of pages

    6

  • Pages from-to

    917-922

  • UT code for WoS article

    000895294300001

  • EID of the result in the Scopus database

    2-s2.0-85134154496