Resumen
Whenever cancer of the uterine cervix is diagnosed in a locally advanced stage, it is important to know whether it affects the lymph nodes above the pelvis or not. There are two ways of ruling it out: by a surgery, called paraaortic lymphadenectomy, or by imaging tests. With this study, we wanted to see whether paraaortic lymphadenectomy affected the natural evolution of the tumor by looking at the differences in the recurrence rate between both groups. We used a statistical technique that makes both groups comparable. We observed that patients who underwent a paraaortic surgery suffered more recurrences (both at the lymph nodes and at distance) and survived less than those treated only with the information from the imaging tests.