Strnad P et al. – No parametrial involvement (PI) was noted in early cervical cancer pts with negative sentinel lymph nodes (SLNs); however, 28% of women with positive SLN had PI; results were highly significant, suggesting that radical removal of parametrium in SLN-negative pts is questionable Methods
Prospective study of incidence and distribution of pelvic lymph node (LN) involvement, SLN involvement, and pathologic PI in stage Ia2 and small Ib1 cervical cancer
PI defined as positive parametrial LN or discontinuous malignant cells in parametrium
After radical abdominal hysterectomy, 158 pts stratified into 2 grps based on tumor size