Lymph Node's Metastasis, Treament, and Progorosis of Stage I, IICervix Carcinoma (Clinical analyses of 45 cases attached)

Objective: To explore the relationship between lymph node's metastasis and the treatment and prognosis in cervical cancer cases of stageⅠ, Ⅱ. Methods: We analysed 45 cases with lymph node metastasis, who had been performed extensive hysterectomy and pelvic-lymph-lymph node exenteration. Among whom, 22 cases are IB, 5ⅡA, 18ⅡB. Before the operation, 32 cases had been done radiation. After operation, 31 cases were given radiotherapy. Mearwhile, 25 cases have metastasis of one lymph node, and 20 have two or more than two metastases of lymph nodes. Results: The rate of lymph node metastasis was 12.3%; 5-year-overall survival rate of the 45 cases was 68.89%, and the survival rate of those whose metastases lymph nodes larger than 1.5 cm was 47.36% and the survival rate of those whose metastases lymph nodes small than 1.5cm was 84.62%. 5-year-overall survival rates of patients with one lymph node metastasis and two or more than two lymph node metastases were respectively 84.00% and 50.00%. Conclusions: The status of lymph nodes of patients can be used as evaluation of prognosis. And radiotherapy before and after the operation may help the patients low down the rate of the local recurrence and distant metastases.