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Precision Surgical Technique Enables Lymph Node Detection and Removal in Endometrial Cancer

By MedImaging International staff writers
Posted on 15 Oct 2024

Image: The precision surgery technique can prevent complications associated with extensive lymph node dissection (Photo courtesy of 123RF)

The incidence of endometrial cancer, which is primarily known to spread through lymph nodes, has been rising significantly. Traditionally, extensive lymph node dissection is performed to confirm and remove metastases; however, this method can result in complications such as lower limb lymphedema. To tackle these challenges, various studies have been undertaken. Researchers have now shown that it is possible to detect and accurately remove metastatic lymph nodes during endometrial cancer surgery using a fluorescent contrast agent along with a laparoscopic fluorescence imaging system.

The research team at Korea University Guro Hospital (Seoul, South Korea) created an animal model with lymph node metastasis from uterine cancer and compared the targeting capabilities of two fluorescent contrast agents: indocyanine green (ICG) and neo-mannosyl human serum albumin combined with indocyanine green (MSA-ICG). Through detailed analysis, it was determined that MSA-ICG significantly enhanced CD206 (fluorescent signal) expression in metastatic lymph node tumors. Importantly, while the conventional ICG could not differentiate between metastatic and normal lymph nodes, the MSA-ICG notably increased the fluorescent signal in metastatic lymph nodes, facilitating their distinction from normal lymph nodes during surgery.

Based on the findings published in the latest edition of the esteemed SCIE journal, International Journal of Surgery, the researchers propose that utilizing MSA-ICG in surgery can enable real-time detection and precise removal of metastatic lymph nodes. This accurate surgical technique can help prevent complications related to extensive lymph node dissection and improve patient survival by precisely excising only the cancerous tissue.

“This study demonstrates that the image-guided surgery using MSA-ICG is useful for real-time detection and precise removal of metastatic lymph nodes in endometrial cancer,” said Professor Hyun-Woong Cho of the Gynecologic Cancer Center at Korea University Guro Hospital. “As endometrial cancer is continuously increasing, we hope that this image-guided surgery using MSA-ICG will reduce complications and improve survival rates for endometrial cancer patients.”

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63 (57.93571472168): select jos_facebook.link from jos_facebook where cat=10

64 (963.21105957031): select jos_google_plus.link from jos_google_plus where cat=10

65 (64.849853515625): select jos_linkedin.link from jos_linkedin where cat=10

66 (!!!!! 1364.9463653564): SELECT fid FROM jos_deeppockets WHERE id=294802772 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802772 AND published='1' LIMIT 1

67 (485.89706420898): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

68 (!!!!! 2129.077911377): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

69 (!!!!! 1338.005065918): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

70 (!!!!! 1032.829284668): SELECT show_live FROM jos_com_show_setting LIMIT 1

71 (496.14906311035): SELECT show_live FROM jos_com_show_setting LIMIT 1

72 (828.02772521973): SELECT show_live FROM jos_com_show_setting LIMIT 1

73 (292.06275939941): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 1055.9558868408): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (312.08992004395): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (483.03604125977): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (378.84712219238): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (149.01161193848): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 4571.1994171143): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (265.83671569824): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (140.19012451172): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 2649.7840881348): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

85 (429.15344238281): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

86 (433.92181396484): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 4033.088684082): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (124.93133544922): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (121.11663818359): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

101 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

102 (126.83868408203): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

103 (200.98686218262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

104 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

105 (687.1223449707): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294802772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

106 (113.01040649414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294802765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (633.00132751465): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294802765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (950.09803771973): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

109 (887.15553283691): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

110 (701.1890411377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

111 (288.00964355469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

112 (328.06396484375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

113 (269.17457580566): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

114 (295.87745666504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

115 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

116 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

117 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

118 (461.81678771973): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

119 (!!!!! 94305.992126465): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

120 (741.00494384766): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802772 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802772 AND type='deeppockets_item' AND published='1' LIMIT 1

121 (83.92333984375): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

122 (53.882598876953): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

123 (73.909759521484): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

124 (52.928924560547): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

125 (85.115432739258): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

126 (49.114227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

127 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

128 (87.976455688477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

129 (65.088272094727): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

130 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

131 (689.02969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (334.9781036377): SELECT name FROM jos_deeppockets WHERE id=213

133 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=213

134 (817.06047058105): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

135 (761.03210449219): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

137 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

138 (!!!!! 24697.065353394): TRUNCATE TABLE jos_trademed_module

139 (!!!!! 10154.008865356): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

140 (549.7932434082): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (136.13700866699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

143 (!!!!! 1091.9570922852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

144 (!!!!! 1826.0478973389): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

145 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

146 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

147 (56.028366088867): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802772 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802772 AND type='deeppockets_item' AND published='1' LIMIT 1

148 (42.915344238281): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

149 (44.107437133789): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

150 (119.20928955078): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

151 (705.00373840332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

152 (!!!!! 3124.9523162842): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802772 AND published='1' LIMIT 1

153 (80.82389831543): select jos_twitters.link from jos_twitters where cat=10

154 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

155 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

156 (85.115432739258): select jos_linkedin.link from jos_linkedin where cat=10

157 (372.88665771484): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

158 (!!!!! 1813.8885498047): insert into jos_banners_delta values (14615,'2025-08-01 22:19:38','216.73.216.210','view'),(14202,'2025-08-01 22:19:38','216.73.216.210','view'),(14203,'2025-08-01 22:19:38','216.73.216.210','view')

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