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- W4387135059 abstract "<h3>Introduction/Background</h3> American Joint Committee on Cancer (AJCC) released its 9th-version in 2021 similar as FIGO-2018. Previously, there was a mismatch between the FIGO and AJCC stages. While lymph node (LN) involvement did not change the stage in FIGO-2009, in AJCC-7th, the presence of pelvic LN was staged as IIIB, the presence of PA-LN as IVB. In AJCC-8th, the presence of LN did not affect AJCC prognostic stage groups. In this study, stage distributions according to the changing FIGO and AJCC (TNM) staging system in patients with LN-positive cervical cancer were examined. <h3>Methodology</h3> Between 2010–2021, 162 cervical cancer patients with positive LN were included. It was staged according to FIGO-2009, FIGO-2018, AJCC-7th, AJCC-8th, AJCC-9th. As a result, it was seen that FIGO-2009 and AJCC-8th stages, FIGO-2018 and AJCC-9th stages were similar. Stage distribution of patients was examined (table 1). Overall survival (OS) analysis was performed using the Kaplan-Meier test. <h3>Results</h3> In FIGO2018-AJCC9th group, 5-year and 10-year OS in stage IIIC1 were 76.3% and 70.7%, and 65.9% and 44.9% in IIIC2 (p=0.123), respectively. In the AJCC-7th group, OS data were similar to FIGO2018-AJCC9th. In the FIGO2009-AJCC8th group (excluding 5 IB1, 6 IB2, 1 IIA1, 4 2A2, and 8 IIIA patients), 94 patients were IIB and 44 patients were IIIB. The 5-year and 10-year OS were 77.6% and 72.8% in stage IIB, and 67% and 50.2% in IIIB, respectively (p=0.009). <h3>Conclusion</h3> When OS is calculated by excluding patients without due to the very limited number in the FIGO2009-AJCC8th group, the difference between LN positive IIB and IIIB patients suggests that the primary tumor may have an effect other than lymph node metastasis. It would be appropriate to evaluate with larger series. AJCC is ultimately similar to FIGO-2018. It is also practical due to the use of TNM staging. The ESGO/ESTRO/ESP Guideline-2023 recommends use of TNM classification. <h3>Disclosures</h3> No disclosures." @default.
- W4387135059 created "2023-09-29" @default.
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- W4387135059 date "2023-09-01" @default.
- W4387135059 modified "2023-10-18" @default.
- W4387135059 title "#757 In staging of lymph node positive cervical cancer, the wind in the AJCC was calmed and matched with FIGO staging. FIGO staging is essential, but AJCC’s sound is good" @default.
- W4387135059 doi "https://doi.org/10.1136/ijgc-2023-esgo.185" @default.
- W4387135059 hasPublicationYear "2023" @default.
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