Cervical cancer is one of the most common cancers among women.
1 The treatment and management of cervical cancer are often guided by the International Federation of Gynaecology and Obstetrics (FIGO) staging system, which is based on clinical assessment and imaging rather than invasive investigations, such as surgery.
2 In the 2018 FIGO staging system, once lymph node (LN) metastasis (LNM) is identified either by imaging or pathologic testing, cancer will be considered as stage IIIC irrespective of other findings.
3 Moreover, LNM has been reported to be associated with prognosis and treatment planning in cervical cancer.
4,5 Specifically, patients who show evidence of LNM may undergo chemoradiotherapy rather than surgery as their first choice,
6 avoiding surgery followed by adjuvant chemoradiotherapy and possible serious complications thenceforth.
7,8 Therefore, accurate identification of LN status preoperatively in patients with cervical cancer might avoid unnecessary surgical intervention and benefit treatment planning.