Parametrial involvement in early stage cervical cancer patients with tumor less 2 cm: The myth or reality?

Czech version

Authors: J. Klát; L. Ševčík
Authors‘ workplace: Porodnicko-gynekologická klinika, FN Ostrava, přednosta MUDr. O. Šimetka
Published in: Ceska Gynekol 2010; 75(6): 556-559

Overview

Objective:
The aim is review of studies exploring the relationship of parametrial involvement with other tumor-related factors (lymphovascular space invasion, depth of stromal invasion, status of sentinel lymph node) in early stage cervical cancer patients with tumor less than 2 cm.

Design:
Review.

Settings:
Department of Obstetrics and Gynaecology, University Hospital Ostrava.

Methods:
Searching of the literature in database PubMed by combination of the key words: early stage, cervical cancer, parametrial involvement, parametrectomy.

Conclusion:
Based on literature review, the metastatic parametrial involvement in early-stage cervical cancer patients with tumor less than 2 cm and with other tumor-related factors is very rare. Before omitting of parametrectomy in these low-risk patients, these encouraging data must be confirmed in the prospective multicentric trials.

Key words:
cervical cancer, parametrectomy, radical surgery, sentinel lymph node, parametrial involvement.

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