Lymph Nodes

Site/number/size/number involved/extracapsular spread.

Parametrial involvement increases regional lymph node metastases to about 35% of cases.

Regional nodes: © paracervical, © parametrial, © hypogastric (internal iliac, obturator), © common and ® external iliac, © presacral, ® lateral sacral. A regional lymphadectomy will ordinarily include a minimum of 10 lymph nodes. Intraoperative frozen section examination of suspicious lymph nodes may be done as a prequel to radical surgery and, if positive, a more conservative approach adopted.

pN0 no regional lymph node metastasis pN1 metastasis in regional lymph node(s).

Optional descriptors are: pN1a—1-2 involved node(s) below the common iliac artery pN1b—>3 involved node(s) below the common iliac artery pN1c—any involved node along the common iliac artery.

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