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What is Sentinel biopsy most effective in: and explain in detail?
Vulval carcinoma the lymphatic spread is primarily by embolisation and only in later stages the spread is by permeation to fill the lymphatic channels The lymph node involvement follows a sequential pattern. the lymphatics of labia->superficialinguinal lymph nodes->deep inguinal lymph nodes->pelvic nodes Regional lymph nodes are assessed clinically and also by MRI.,Sentinel node lymphoscintigraphy,ultrasound and PET. D.C.DUTTA&;S TEXTBOOK OF GYNECOLOGY,Pg no:335,6th edition