Iliac lymph node metastasis in patients with stage IB~IIB cervical carcinoma

OBJECTIVE:To study the risk factors for common iliac lymph node metastasis in patients with cervical carcinoma in stage ⅠB-ⅡB and the treatment in patients with positive common iliac lymph node. METHODS: The pathological and clinical features and treatment of cervical carcinoma patients were retrospectively reviewed and analyzed. RESULTS:Of the 652 cases reviewed, 45(6.90%)had positive common iliac lymph node. Single factor analysis showed that clinical stage, number of pelvic lymph node metastasis group (excluding common iliac lymph node), deep cervical stromal invation, lymph-vascular space invasion were associated with common iliac lymph node metastasis. Factors predictive of common iliac lymph node metastasis on logistic forward regression were clinical stage and number of pelvic lymph node metastasis group (excluding common iliac lymph node). CONCLUSIONS: Clinical stage and Number of pelvic lymph node metastasis group (excluding common iliac lymph node) are the independent predictive factors for common iliac lymph metastasis of cervical carcinoma. The treatment of cervical carcinoma patients with positive common iliac lymph node is worth of further study.