Abstract:Abstract: Objective To investigate the pathological characteristics of postoperative recurrence and the influencing factors of recurrence within 5 years in stage Ia 2-IIa 2 cervical cancer patients. Methods Retrospective analysis was performed on clinical data of 375 patients with stage Ia 2-IIa 2 cervical cancer treated in the People’s Hospital of Zhanjiang Center from January 2015 to July 2018. The pathological characteristics of postoperative recurrence in stage Ia 2-IIa 2 cervical cancer patients were analyzed. Patients were divided into 5-year recurrence free survival (DFS) group and a recurrence group based on 5-year recurrence data. The influencing factors of recurrence within 5 years were determined by using multivariate logistic regression analysis. Results The 5-year DFS rate was 85.3%. Among the recurrent cases, there were 22 cases (40.0%) of stage IIa 2, 38 cases (69.1%) of poorly differentiated type, 39 cases (70.9%) of endogenous type lesions, and 37 cases (67.3%) of squamous cell carcinoma. Stage IIa cervical cancer, poorly differentiated cervical cancer, tumors≥4 cm, and cervical infiltration depth>1/2 of the myometrium were independent risk factors for recurrence within 5 years. Conclusion Patients with stage IIa cervical cancer, poorly differentiated cervical cancer, tumors greater than 4 cm, and cervical infiltration depth greater than 1/2 of the myometrium in stage Ia 2-IIa 2 cervical cancer are prone to recurrence within 5 years.
