Research Article

Perineural Invasion Should Be Regarded as an Intermediate-Risk Factor for Recurrence in Surgically Treated Cervical Cancer: A Propensity Score Matching Study

Table 1

Patient characteristics.

Patient characteristicsBefore PSMAfter PSM
PNI (+), PNI (-), PNI (+), PNI (-),

Mean age (yr)0.030.05

Average tumor size (cm)0.010.93

Pathological typeSquamous carcinoma116 (71.6%)1462 (87.3%)0.02116 (71.6%)118 (72.8%)0.89
Adenocarcinoma31 (19.1%)153 (9.1%)31 (19.1%)28 (17.3%)
Adenosquamous carcinoma15 (9.3%)59 (3.5%)15 (9.3%)16 (9.9%)

Tumor differentiationWell8 (4.9%)235 (14.0%)0.018 (4.9%)6 (3.7%)0.93
Moderate63 (38.9%)724 (43.3%)63 (38.9%)63 (38.9%)
Poor91 (56.2%)715 (42.7%)91 (56.2%)93 (57.4%)

FIGO stageIA2063 (3.8%)0.01000.96
IB141 (25.3%)752 (44.9%)41 (25.3%)38 (23.5%)
IB213 (8.0%)209 (12.5%)13 (8.0%)14 (8.6%)
IIA159 (36.4%)204 (12.2%)59 (36.4%)60 (37.0%)
IIA226 (16.1%)136 (8.1%)26 (16.0%)27 (16.7%)
IIB23 (14.2%)98 (5.9%)23 (14.2%)23 (14.2%)

Primary therapyRadical surgery111 (68.5%)1284 (76.7%)0.01111 (68.5%)98 (60.5%)0.12
NACT51 (31.5%)390 (23.3%)51 (31.5%)64 (39.5%)

NACT courses2.320.362.32.20.78

Response to NACTpCR041 (10.5%)0.0106 (9.4%)0.01
CR052 (13.3%)07 (10.9%)
PR39 (76.5%)245 (62.8%)39 (76.5%)42 (65.6%)
SD11 (21.6%)40 (10.3%)11 (21.6%)9 (14.1%)
PD1 (2.0%)12 (3.1%)1 (2.0%)0

Surgical approachMinimally invasive surgery12 (7.4%)136 (8.1%)0.4612 (7.4%)20 (12.3%)0.14
Laparotomy150 (92.6%)1538 (91.9%)150 (92.6%)142 (87.7%)

PNI: perineural invasion; FIGO: International Federation of Gynecology and Obstetrics; NACT: neoadjuvant chemotherapy; pCR: pathological complete remission; CR: complete remission; PR: partial remission; SD: stable disease; PD: progress disease.