163 Pathological assessment of lymph node status in cervical cancer: complete embedding does not does not yield more node metastases

Introduction/Background* Assessment of lymph node status is essential in patients with cervical cancer, particularly to determine prognosis and further therapy. The current pathological protocol states that only tissue visible or palpable nodes investigated, the residual fatty stored. We determined a retrospective cohort study value embedding examining all removed tissue, compared protocol. Methodology Patients surgically treated (radical hysterectomy pelvic dissection) for early stage cancer at Erasmus MC between 2017 2019 were included. In multivariate analysis extra count BMI initial count. Result(s)* Ninety-eight included, was assessed 50 (51%). median number found by conventional assessment 26 (range 9-58) 9 0-28) tissue. Ten (10.2%) had positive nodes, during assessment. above 30 kg/m2, more are detected under kg/m2 (R2=0.265). calculated costs rest €240. Conclusion* results finding 30% nodes. This did not result detection metastases. do think it worthwhile investigate women high (>30 kg/m2).