Abarajda,*Ashok Kumar adhy P , Janmejay Mohapatra, Sagarika Samantaray, Susil Kumar Giri.
Journal of Cancer Cervix Eradication (2017)1, 1-6
JCCE:01
Abstract: To study the incidence of nodal metastasis in early stage operable cases of cancer cervix patients and to correlate the nodal metastasis with different parameters like stage, degree of differentiation, lympho -vascular space invasion (LVSI) and deep strom is an observational study conducted in Department of Gynecologic Oncology, Acharya Harihar Regional Cancer Centre & SCB Medical College , Cuttack. from September 2013 to August 2014. The mean age of patients was 52.5 years. Post menopausal bleeding was the most common clinical presentation observed. (17.5%) individuals had lympho-vascular invasion and pelvic lymph node involvement. 16(20%) individuals had stromal invasion. Majority of cases belonged to Stage I B -46 (57.5%) patients, followed by Stage II A -32(40%) and only 2(2.5%) had Stage I A. Most of the cases 68 (85%) were reported on histopathological examination to have squamous cell carcinoma. Patients with Lymphnode postivity, positive vaginal margin, parametrial positivity (1 out of 3 high risk factors) received chemo Patients with lesion size more than 4 cm, LVSI, Deep stromal invasion (2 out of 3 intermediate risk factors) received radiation only.
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