Research Article

Safety and Prognostic Impacts of Ovarian Preservation during Radical Hysterectomy for Early-Stage Adenocarcinoma and Adenosquamous Cervical Cancer

Table 2

Univariate analysis of 5-year recurrence-free survival and 5-year overall survival in patients aged <50 years.

Characteristic5-year RFS (95% CI) value5-year OS (95% CI) value

FIGO stage0.010.043
 IA2100.0a100.0a
93.1 (86.7-99.9)a95.6 (89.7-100)a,b
85.7 (78.1-94.0)97.3 (93.6-100)b
Histology0.2540.513
 Adenocarcinoma91.5 (86.7-96.5)97.3 (94.4-100.0)
 Adenosquamous80.2 (64.4-100.0)95.2 (86.6-100.0)
LVSI0.0420.016
 No90.9 (86.0-96.0)96.7 (93.5-100.0)
 Yes82.2 (65.5-100.0)100 (100-100.0)
Parametrial invasion<0.001<0.001
 No90.7 (85.9-95.7)96.8 (93.8-100.0)
 Yes77.1 (53.5-100.0)100 (100-100.0)
LN metastasis<0.001<0.001
 No92.3 (87.9-96.8)97.8 (95.3-100.0)
 Yes38.1 (13.7-100.0)80.0 (51.6-100.0)
Vaginal margin involvement<0.0010.213
 No90.3 (85.5-95.3)97.0 (94.1-100.0)
 Yes75.0 (42.6-100.0)100.0
DSI0.0040.003
 No91.8 (87.0-96.8)96.3 (92.9-99.9)
 Yes81.8 (68.4-98.0)100.0
Type of surgery0.9401
 Open89.9 (85.1-94.9)97.0 (94.2-100.0)
 Laparoscopic100.0 (100-100.0)100.0 (100.0-100.0)
Adjuvant treatment<0.001<0.001
 No92.3 (87.8-97.1)97.5 (94.7-100.0)
 Yes75.2 (58.4-96.8)94.4 (84.4-100.0)
Postoperative HRT0.8920.631
 No91.2 (85.7-96.9)97.9 (95.1-100.0)
 Yes86.7 (73.7-100.0)100 (100-100.0)
 Missing86.5 (73.4-100.0)89.2 (76.0-100.0)
Year of treatment0.7780.503
 1987-199988.0 (79.5-97.5)95.8 (90.2-100.0)
 2000-201791.2 (85.7-96.9)97.7 (94.6-100.0)
Ovarian preservation0.3630.974
 No91.1 (84.4-98.3)96.5 (91.8-100.0)
 Yes88.9 (82.2-96.1)97.5 (94.2-100.0)

Values are presented as percentage (95% confidence interval). FIGO: The International Federation of Gynecology and Obstetrics; OP: ovarian preservation; LVSI: lymph-vascular space invasion; LN: lymph node; DSI: deep stromal invasion; HRT: hormonal replacement therapy. a,bFIGO stage not having a superscript in common within RFS and OS differ significantly ( value < 0.05).