Nodal Risk in Cervical Cancer
Untreated.jpg

HENRIKSEN: Am. J. Obst & Gynec November 1949.
Incidence of nodal involvement in 26 cases of cervical carcinoma.

Lymph Node Spread (ASTRO 2006)

IB IIA/IIB IIIA/IIIB IV
Pelvic 15% 33% 50% 50%
Para-aortic 5% 10/19% 20/29% 35%
  • para-aortic risk ~ 1/2 of pelvic node risk

DISTRIBUTION OF LN METASTASIS

Early.jpg
  • BENEDETTI-PANICI ET AL. GYNECOLOGIC ONCOLOGY 62, 19-24 (1996)
  • radical hysterectomy with systematic lymphadenectomy was performed in 66 patients FIGO stage IB-IIA <4 cm
Advanced.jpg
  • BENEDETTI-PANICI ET AL. GYNECOLOGIC ONCOLOGY 62, 19-24 (1996)
  • 159 patients stage IB-IIA >4 cm to stage IV
  • The patients were treated with neoadjuvant chemotherapy (NACT).
  • radical hysterectomy with systematic lymphadenectomy was then performed
Para-aortic.jpg
  • BENEDETTI-PANICI ET AL. GYNECOLOGIC ONCOLOGY 62, 19-24 (1996)
  • 159 patients stage IB-IIA >4 cm to stage IV
  • The patients were treated with neoadjuvant chemotherapy (NACT).
  • radical hysterectomy with systematic lymphadenectomy was then performed
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