Pelvic lymph node dissection in the treatment of cervical and uterine neoplasms – correlation with the histologic type and disease stage

Introduction. The cervical and uterine neoplasms involve standardized treatments, decided by a multidisciplinary team, according to disease staging. Performed whenever possible, surgeries involve, in the first place, the dissection of the obturator fossa, common iliac and interaortocaval lymph nodes. The postoperative (pT) histopathological (HP) examination may indicate tumor aggressivity through the presence or absence of neoplastic cells on the surgical spe­ci­men and in the obturator lymph nodes. Materials and me­thod. Our clinic has recorded 123 patients (2019-2020), sub­jec­ted to surgery for cervical and uterine neo­plasms, and their obturator lymph nodes HP exams were correlated with the stage of the disease. Results. 7.31% of the patients had tumor cells in the obturator lymph nodes. Conclusions. The tumor cells present in the obturator lymph nodes are correlated with advanced disease stages and an aggressive histopathologic type.