Optical Guided Sentinel Node Biopsy for Staging of Vulvar Cancer (I)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorRigshospitalet, Denmark

About this trial

The aim of this study is to investigate whether Sentinel Node biopsy can be performed without the use of lymphoscintigraphy and with ICG as a mono-tracer in women with vulvar cancer, unifocal tumor \< 4 cm (clinical stage IB and II). Further, to investigate the accuracy of combined PET-CT and ultrasound (US) of the groins with US-guided biopsy of suspicious lymph nodes for the identification of macro-metastases in women with vulvar cancer, unifocal tumor \< 4 cm.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with primary vulva cancer, FIGO stage IB (tumor < 4 cm)

Patients with unifocal recurrence in the vulva (tumor < 4 cm) located on the side where the patient is surgically naïve in the groin

Disqualifiers

Prior irradiation of the vulva or groins

Prior SNB or inguinal lymphadenectomy in the relevant groin

Known allergy to ICG or iodine (ICG contains 5% sodium iodine)

Trial population

Patients with primary or recurrent vulva cancer

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Sentinel Node detection rate

SN detection rate with ICG and 99mTc-Nanocoll alone perioperatively, where lymphoscintigraphy is blinded, in patients with vulvar cancer (tumor \< 4 cm) without clinical suspicion of metastases to the inguinal lymph nodes.

Time frame
Three years

Secondary outcomes

1

Sensitivity, specificity, PPV and NPV

Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of FDG PET-CT and US combined with US-guided biopsy of suspicious lymph nodes for the identification of macro-metastases in the groins

Time frame
Three years

Other outcomes

Sponsors and contacts

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Rigshospitalet, Denmark

Lead sponsor

Aarhus University Hospital

Collaborator