Table 3. Comparison of recurrence pattern and disease-specific death before and after the application of PMI criterion on MRI and VC in International Federation of Gynecology and Obstetrics stage IB–IIA cervical cancer patients treated with minimally invasive radical hysterectomy.
| Groups | Pre-PMI IVC group* (n=117) | Post-PMI VC group† (n=99) | |||
|---|---|---|---|---|---|
| Site of recurrence | Disease recurrence (n=19) | Death (n=10) | Disease recurrence (n=2) | Death (n=0) | |
| Pelvis | 10 (52.6) | 3 (30.0) | 1 (50.0) | 0 | |
| Vaginal stump | 6 | 0 | 1 | 0 | |
| Parametrium | 0 | - | 0 | - | |
| Ovary | 1 (adnexectomy) | 1 | 0 | - | |
| Pelvic LN | 3 | 2 (20.0) | 0 | - | |
| Extra-pelvis | 3 (15.8) | 2 | 1 (50.0) | 0 | |
| Para-aortic LN | 0 | - | 1 | 0 | |
| Supraclavicular LN | 1 | 0 | 0 | - | |
| Lung | 1 | 1 | 0 | - | |
| Liver | 1 | 1 | 0 | - | |
| Intraperitoneal | 6 (31.8) | 5 (50.0) | 0 (0.0) | - | |
| Bowel serosa | 1 (colectomy) | 0 | 0 | - | |
| Paracolic gutter | 2 | 2 | 0 | - | |
| Splenic hilum | 1 (splenectomy) | 1 | 0 | - | |
| Peritoneal carcinomatosis | 2 | 2 | 0 | - | |
Values are presented as number (%).
IVC, intracorporeal or vaginal colpotomy; LN, lymph node; MRI, magnetic resonance imaging; PMI, parametrial invasion; VC, vaginal colpotomy.
*In the pre-PMI IVC group, PMI criterion was not applied, and the patients received IVC; †In the post-PMI VC group, no patients had a disruption of the cervical stromal ring on MRI and received VC only.