Cervical cancer
is currently the second most common form of neoplasia worldwide and third in
the female population.
Dissemination can
occur directly (isthmus, parametrium, vagina, urinary bladder and/or rectum),
through the lymphatic system (parametrium, internal iliac, external iliac,
common iliac, obturator lymph nodes and rarely in the inferior gluteus,
superior gluteus, superior rectum, sacrum, aortic lymph nodes) and through the
circulatory system (lung, mediastinum, bones, liver).
The risk of pelvic
lymph nodes invasion in stage IB (FIGO) is 9-17%.
The standard surgical treatment, for stages IA2-IIA, is radical hysterectomy
with pelvic lymphadenectomy.
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