@article{article_1730616, title={Prediction of Metastatic Pelvic Lymph Node Diameter For Para-aortic Lymph Node Metastasis in Patients With Locally Advanced Cervical Cancer}, journal={Türk Jinekolojik Onkoloji Dergisi}, volume={25}, pages={33–39}, year={2025}, author={Özdemir, Belma Gözde and Avcı, Fazıl and Kulhan, Mehmet and Güler, Abdül Hamid and Ateş, Mete Can and Celik, Cetin and Bilgi, Ahmet}, keywords={cervical cancer, lenf node diameter, prediction, surgery}, abstract={Objectives: Investigation of the prediction of para-aortic lymph node (LN) metastasis by metastatic pelvic lymph node diameter in patients with locally advanced cervical cancer. Methods: Between 28 December 2010 and 30 March 2021, 57 patients with locally advanced cervical cancer [2B-4A 2018 FIGO] at Selcuk University’s Faculty of Medicine were enrolled in this retrospective analysis. The involvement of pelvic and para-aortic LN in patients with surgical staging and outcomes were assessed. Results: The average age of 57 patients was 56 [33-78] years. Of patients, 73.7% were stage 2b, 12.3% were stage 3 and 14.0% were stage 4a. Of samples, 91.2% had histological type squamous cells. The mean number of LNs collected was 4 [0-49] and 10 [7-37] in patients with pelvic and para-aortic LN involvement, respectively. Para-aortic LN was positive in 9 patients and negative in 48 patients according to ROC analysis. Para-aortic LN involvement was predicted by metastatic pelvic LN cut-off diameter of 0.75 cm with 100% sensitivity and 89.6% specificity [AUC=0.959, p=0.001 [95% CI, 0.912-1.000]. Conclusion: The cut-off for pelvic LN dissection and metastatic pelvic LN diameter in locally advanced cervical cancer was accepted as 0.75 cm for predicting para-aortic LN involvement.}, number={2}, publisher={Türk Jinekolojik Onkoloji Derneği}, organization={none}