Evidence map›Paper›PMID 39513930›Full record

ArticleUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2025

Ultrasound assessment of lymph nodes for staging of gynecological cancer: consensus opinion on terminology and examination technique.

D Fischerova, E Gatti, C Culcasi, Z Ng, G Szabó, L Zanchi, A Burgetova, O Nanka, G Gambino, M R Kadajari and 2 more

Abstract readConsensus Statement
In one paragraph

Article in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Cadaveric addendum to the consensus on ultrasound-based lymph-node staging in gynecological cancer.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

D FischerovaDepartment of Gynecology, Obstetrics and Neonatology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.ORCID 0000-0002-7224-3218
E GattiDepartment of Biomedical Science for Health, University of Milan, Milan, Italy.ORCID 0009-0009-3774-6061
C CulcasiDepartment of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0009-0009-3602-2635
Z NgDepartment of Gynaecological Oncology, KK Women's and Children's Hospital, Singapore.ORCID 0000-0003-0739-2775
G SzabóDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
L ZanchiDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, Unit of Obstetrics and Gynaecology, University of Pavia, IRCCS San Matteo Hospital Foundation, Pavia, Italy.ORCID 0009-0006-7747-6412
A BurgetovaDepartment of Radiology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.ORCID 0000-0002-9975-2338
O NankaInstitute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic.ORCID 0000-0002-6300-395X
G GambinoDepartment of Gynecologic Oncology, ARNAS Civico Di Cristina Benfratelli, University of Palermo, Palermo, Italy.
M R KadajariObstetrics and Gynaecology Department, University Hospital Waterford, Waterford, Ireland.
G GarganeseUnità Operativa di Chirurgia degli Organi Genitali Esterni Femminili, Divisione di Ginecologia Oncologica, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-4209-5285
Collaborators

Funding

General University Hospital in Prague CZ-DRO-VFN64165lékařská fakulta Univerzity Karlovy UNCE/24/MED/018Ministerstvo Zdravotnictví Ceské Republiky NU21-03-00461Ministerstvo Zdravotnictví Ceské Republiky NV19-03-00552
6 · The paper itself

Abstract

The lymphatic pathway is an important route of metastasis in gynecological malignancy. Therefore, the examination of lymph nodes is an essential part of the ultrasound evaluation in patients with known or suspected gynecological malignancy. The lymph nodes most frequently involved in gynecological malignancy (apart from vulvar cancer) are parietal (retroperitoneal) and visceral abdominopelvic lymph nodes. In advanced disease, more distant lymph-node regions, such as the inguinal, axillary and supraclavicular lymph nodes, can also be involved. The standardized description of lymph nodes has been published previously by the Vulvar International Tumor Analysis (VITA) collaborative group. Herein, a collaborative group of gynecologists and gynecological oncologists with extensive ultrasound experience presents a systematic methodology for ultrasonographic lymph-node assessment performed as part of the locoregional and distant work-up to assess the extent of gynecological malignancy. The aim of this consensus opinion is also to describe the anatomical classification and drainage pathways of the lymphatic system as relevant to the gynecological organs. © 2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

Indexed as

Genital Neoplasms, FemaleLymphatic MetastasisLymph NodesFemaleHumansNeoplasm StagingTerminology as TopicUltrasonographyanatomyclinical casesgynecological malignancylymphatic drainagelymph nodesultrasonography

Identifiers

PMID39513930
PMCPMC12133214

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.