英文摘要 |
Radical hysterectomy, a therapeutic modality for the treatment of early-stage cervical cancer, is routinely combined with pelvic lymphadenectomy. A pretreatment evaluation by magnetic resonance imaging (MRI) to predict the parametrial spreading and metastasis to the pelvic lymph nodes, compared with the pathologic assessment, showed that the overall accuracy rate of prediction is greater than 90%, and the negative prediction is 100%. It may therefore suggest that routine pelvic lymphadenectomy is not necessary if the pelvic lymph node involvement in the pretreatment MRI is negative and the gross examination of the pelvic lymph node during operation is also negative. |