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Para-aortic Lymphadenectomy in Staging Patients With Advanced Local Cervical Cancer

From the Department of Gynecology, Roswell Park Memorial Institute, Buffalo, New York

Abstract

During the past 24 months, 56 patients with locally advanced cervical cancer underwent diagnostic aortic lymphadenectomy or aortic node biopsy as part of a surgical staging procedure. Of 32 patients with clinically established stage IIIB (pelvic wall) disease, 37.5% had metastases to the para-aortic nodes. Forty percent (2 of 5) had aortic node metastases when the tumor had extended to the bladder mucosa. Only a small percentage (5.2%) had metastases to the para-aortic nodes when the disease extended only to the parametrium.