An analysis on the high risk factors of pelvic lymph node metastasis in cervical carcinoma patients
- VernacularTitle:宫颈癌患者盆腔淋巴结转移高危因素分析
- Author:
Fang-Ming YU
1
;
Ya-Xia CHEN
;
Gui-Lan NIE
;
Li-Na HUANG
;
Xiao-Li MAO
Author Information
1. 浙江大学医学院附属妇产科医院
- Keywords:
Cervical cancer;
Lymph nodes;
Metastasis;
Risk factors
- From:
Journal of Preventive Medicine
2015;(10):995-998
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the metastatic risk factors of pelvic lymph nodes in patients with cervical carcinoma of stage Ia2 and IIa2.Methods The clinic opathologicparameters in 337 patients with stage Ia2 -IIa2 cervical carcinoma were retrospectively analyzed,and were studied the related factors of pelvic lymph node metastasis.Results The lymph nodes metastasis rate was 11.87%,with the obturator and internal iliaclymph nodes mostly involved.Multivariate analysis showed that the myometrial invasion,size of tumor,lymph -vascular space involvement and utero -tissue infiltration were major risk factors.The OR value and 95%CI were 3.464(1.502 -7.985)、4.316 (1.164 -7.833)、6.167 (2.592 -14.674)和 8.507(1.966 -36.808)respectively.Conclusion The myometrial invasion≥ 2 /3,size of tumor≥ 4 cm, lymph -vascular space involvement and utero -tissue infiltration positive lymph node metastasis of cervical cancer are easy to occur.
