Evidence map›Paper›PMID 40742489›Full record

ArticleArchives of gynecology and obstetrics2025

Sentinel lymph node biopsy versus pelvic lymphadenectomy for early-stage cervical cancer: a retrospective institutional review.

Tiermes Marina Martin, Cristina Celada Castro, Ariel Glickman, Nuria Carreras, Andrea Valenzuela, Pere Fusté, Adela Saco, Sergi Vidal-Sicart, Aureli Torné, Berta Díaz-Feijoo

Abstract readComparative Study
In one paragraph

Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tiermes Marina MartinInstitute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain. marina@clinic.cat.ORCID 0000-0002-3307-5346
Cristina Celada CastroInstitute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain. celada@clinic.cat.ORCID 0000-0002-3519-1754
Ariel GlickmanInstitute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain.ORCID 0000-0002-5233-5545
Nuria CarrerasInstitute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain.ORCID 0000-0002-4809-8102
Andrea ValenzuelaInstitute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain.ORCID 0009-0008-4860-3296
Pere FustéInstitute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain.ORCID 0000-0002-8129-9897
Adela SacoDepartment of Pathology, Hospital Clínic, University of Barcelona, Barcelona, Spain.ORCID 0000-0001-9935-9045
Sergi Vidal-SicartDepartment of Nuclear Medicine, Hospital Clínic, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-6303-3606
Aureli Torné *Institute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain.ORCID 0000-0003-4700-9507
Berta Díaz-Feijoo *Institute Clinic of Gynecology, Obstetrics, and Neonatology, Hospital Clínic, University of Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain.ORCID 0000-0002-6451-1817

Funding

Instituto de Salud Carlos III CM23/00136
6 · The paper itself

Abstract

objectiveTo evaluate the oncologic and survival outcomes in patients diagnosed with early-stage cervical cancer who underwent both sentinel lymph node (SLN) and pelvic lymphadenectomy (PLD) compared with those who underwent SLN alone at primary surgery.

methodsFrom 2001 to 2022, women who underwent SLN biopsy for nodal staging were recruited. The group of women who underwent SLN biopsy and PLD (SLN + PLD group) was compared with the group who underwent SLN mapping alone (SLN group).

results210 patients were evaluated (98 and 112 in each group). The overall SLN detection rate was 97.6%. Lymph node involvement was detected in 23 patients (11%), and the rate of positive SLN increased from 6.2 to 11% after final pathological examination. At a median follow-up of 80 months, the recurrence and mortality rates were 6.2 and 2.4%, respectively. The 3-year progression-free survival (PFS) rate was 93.7 and 97.2%, and the overall survival (OS) rate was 98.9 and 99.0% in the SLN + PLD and SLN group, respectively. There were no significant differences in the Kaplan-Meier PFS (p = 0.471; HR 0.66; 95% CI 0.22-2.04) and OS (p = 0.228; HR 0.28; 95% CI 0.03-2.53) curves between the groups.

conclusionPending further confirmation from prospective trials, SLN biopsy appears to be an effective method of nodal assessment in early-stage cervical cancer. This technique does not appear to increase the risk of recurrence compared with complete PLD in selected patients and may offer a viable, less invasive alternative for accurate nodal staging.

Indexed as

Carcinoma, Squamous CellLymph Node ExcisionSentinel Lymph Node BiopsyUterine Cervical NeoplasmsAdultAgedFemaleHumansLymphatic MetastasisMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPelvisRetrospective StudiesCervical cancerLymphadenectomySentinel lymph nodeSurgery

Identifiers

PMID40742489
PMCPMC12414009

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.