Analysis of lymph node metastasis and risk factors in 975 patients with FIGO 2009 stage ⅠA-ⅡA cervical cancer

This study is a retrospective analysis of clinical data from 975 patients with stage IA–IIA cervical cancer treated in our hospital from January 2010 to December 2018, according to the Int ernational Federation of Gynecology and Obstetrics (FIGO) 2009. Methods: The incidence and distribution of LNM were analyzed, and the influencing factors of cervical cancer LNM were analyzed using univariate and multivariate logistic regression. Results: In this study, the LNM rate was 14.8% (144/97 5), and a total of 20,288 lymph nodes were removed, among which 359 lymph nodes had metastasis. According to the number and frequency of metastatic lymph nodes in different regions, the metastatic rate was the highest in the external iliac regions. Univariate analysis showed more than three pregnanc ies, tumor size> 4 cm, gross type, FIGO stage, pathological type, positive lymphovascular space invasion (LVSI), deep cervical stromal invasion (outer half invasion), parametrial involvement, and uterine corpus invasion (UCI) were correlated with LNM (P4 cm (odds ratio (OR) = 2.253, 95% confidence interval (CI): 1.486 –3.416, P
Source: Gynecologic and Obstetric Investigation - Category: OBGYN Source Type: research