Objective:To evaluate the prognostic significance of perineural invasion (PNI) in patients with early cervical cancer. Methods:We reviewed clinical records and pathology slides of 306 patients with cervical cancer(FIGO IA2IIA2) after radical hysterectomy in Department of Gynecology,Jiangsu Provincial People′s Hospital From January 2008 to December 2015. Results:①The incidence of PNI in patients with early cervical cancer was 10. 5%(32/306). ②The incidence of PNI was correlated with tumor diameter,depth of invasion,lymphovascular spare invasion (LVSI) and lymph node metastasis(P<0.05). ③The disease-free survival and overall survival of the PNI-positive group were significantly lower than those of the PNI-negative group. ④Univariate analysis showed that tumor diameter,PNI and clinical stage were correlated with the overall survival time of cervical cancer(P<0.05). The tumor diameter was correlated with disease-free survival time (P=0.002). ⑤Multivariate analysis showed that PNI was not identified as an independent risk factor(P=0.154). Conclusion:The PNI is associated with tumor diameter,depth of invasion,LVSI and lymph node metastasis,and affect the prognostic of cervical cancer,but is not an independent risk factor.
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Gu Jiamin, Yuan Lin, Cheng Wenjun, Han Suping, You Zhixue, Fu Shilong. Clinical prognosis significance of perineural invasion in early-stage cervical cancer[J].,2017,(5):615-619.