Cervical cancer is clinically staged, but assessment of pelvic and paraaortic lymph nodes is performed with lymphadenectomy and/or imaging. The surgical and oncologic goals of the lymph node dissection are to define the extent of disease and, thereby, to guide further treatment. Pelvic and paraaortic lymph node evaluation is a major component of the surgical staging procedure for several gynecologic malignancies, including endometrial and ovarian carcinoma. Cervical cancer is clinically staged, but assessment of pelvic and paraaortic lymph nodes is performed with lymphadenectomy and/or imaging. The surgical and oncologic goals of the lymph node dissection are to define the extent of disease and, thereby, to guide further treatment. Lymphadenectomy may also have a therapeutic goal in conditions in which removing nodes harboring metastatic disease improves survival.
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