What are the benefits of surgical staging for cervical cancer?

Updated: Feb 12, 2019
  • Author: Cecelia H Boardman, MD; Chief Editor: Warner K Huh, MD  more...
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Answer

Clinical staging protocols can fail to demonstrate pelvic and aortic lymph node involvement in 20-50% and 6-30% of patients, respectively. For that reason, surgical staging sometimes is recommended.

Pretreatment surgical staging is the most accurate method of determining the extent of disease. However, there is little evidence to suggest that routine surgical staging yields any significant improvement in overall survival. Therefore, the decision whether to perform pretreatment surgical staging should be made on an individual basis after a thorough nonsurgical workup, including fine-needle aspiration of lymph nodes, has failed to demonstrate metastatic disease.


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