Clinical Dilemmas and Unresolved Issues in GynecologyLymphadenectomy in the Management of Gynecologic CancerBAKKUM-GAMEZ, JAMIE N. MDAuthor Information Department of Obstetrics and Gynecology, Division of Gynecologic Oncology Surgery, Mayo Clinic, Rochester, Minnesota The authors declare that they have nothing to disclose. Correspondence: Jamie N. Bakkum-Gamez, MD, Eisenberg Lobby 71, Mayo Clinic, Rochester, MN. E-mail: firstname.lastname@example.org Clinical Obstetrics and Gynecology: December 2019 - Volume 62 - Issue 4 - p 749-755 doi: 10.1097/GRF.0000000000000481 Buy Metrics Abstract Among nearly all gynecologic cancers, knowing whether the cancer has metastasized to lymph nodes impacts the ultimate management of the cancer. Lymph node status assists in cancer staging, prognostication, guidance of surgical intervention and adjuvant therapy, and removal of positive lymph nodes may be therapeutic in some cancers. Surgical staging through lymph node removal and pathologist assessment is standard of care for most gynecologic cancers. This section reviews the anatomic lymphatic drainage patterns of each gynecologic organ and the evolution and current practice of surgical lymph node assessment along the spectrum of gynecologic cancers. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.