Özet:

Purpose: An accurate assessment of a potential lymph node metastasis (LNM) is an important issue for the individual treatment of cervical cancer. The goal of the current retrospective study was to identify predictive factors of LNM in patients with cervical cancer. Materials and Methods: In this retrospective study, from 2007 to 2019, patients with cervical cancer of the International Federation of Gynecology and Obstetrics (FIGO) stage IB1-IIA2 were included. Incidences of LNM were described, and the predictive value of the risk factors for pelvic and paraaortic LNM were determined in univariate and multivariate models. Results: Among 212 patients, the number of patients with pelvic LNM was 81(38.2%), the number of patients with paraaortic LNM was 17(8%). Multivariate analysis revealed that the parametrial involvement (hazard ratio [HR]: 2.75, 95% confidence interval [CI], 1.18-6.40, p=0.019) and LVSI ([HR]: 3.83, 95% [CI], 1.76-8.38, p=0.001) were independent risk factors for pelvic LNM with cervical cancer patients. For paraaortic LNM parametrial involvement was independent risk factor on multivariate analysis ([HR]: 3.62, 95% [CI], 1.20-10.98, p=0.023). Conclusion: The predictive factors of pelvic LNM in cervical cancer patients were parametrial involvement and LVSI and for paraaortic LNM was parametrial involvement.