title: Para-aortic node sampling in small (3-cm or less) stage IB invasive cervical cancer.
abstract: Only 2 of 125 patients with FIGO stage IB invasive squamous or adenocarcinoma of the cervix 3 cm or less in diameter who underwent exploration for radical hysterectomy, bilateral pelvic lymphadenectomy, and para-aortic node sampling had metastases to the para-aortic nodes. No patient had gross para-aortic nodal involvement, and both patients with microscopic para-aortic nodal metastases had grossly positive pelvic nodal involvement. Para-aortic node sampling in patients with small stage IB cervical cancers undergoing radical hysterectomy may be restricted to patients with suspicious pelvic or para-aortic nodes.
authors.affiliation: Department of Gynecologic Oncology, Monmouth and Riverview Medical Centers, Red Bank, New Jersey 07701.
authors.forename: B
authors.initials: B
authors.lastname: Patsner
authors.forename: T V
authors.initials: TV
authors.lastname: Sedlacek
authors.forename: J L
authors.initials: JL
authors.lastname: Lovecchio
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology*; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery