%0 Journal Article %1 Horn.2010b %A Horn, Lars-Christian %A Meinel, Alexandra %A Fischer, Uta %A Bilek, Karl %A Hentschel, Bettina %D 2010 %J Journal of cancer research and clinical oncology %K Adult Aged Aged,_80_and_over Female Humans Middle_Aged Neoplasm_Invasiveness Peripheral_Nerves/pathology Prognosis Proportional_Hazards_Models Survival_Rate Uterine_Cervical_Neoplasms/mortality/pathology/surgery %N 10 %P 1557–1562 %T Perineural invasion in carcinoma of the cervix uteri--prognostic impact %V 136 %X PURPOSE\r\nLimited information exists about the occurrence and the impact of perineural invasion (PNI) in patients with cervical carcinoma (CX).\r\nMETHODS\r\nThe original histologic slides from patients primarily treated by radical hysterectomy and systematic pelvic lymphadenectomy were re-examined regarding the occurrence of PNI. PNI was correlated to recurrence free (RFS) and overall survival (OS).\r\nRESULTS\r\n35.1\% of all patients (68/194) represented perineural invasion (=PNI). The 5-year-overall-survival-rate was significantly decreased in patients representing PNI, when they were compared with those without PNI (51.1\% 95\% CI 38.0-64.2 vs. 75.6\% 95\% CI 67.8-83.4; p = 0.001). In a separate analysis the prognostic impact persisted in the node negative, but disappeared in the node-positive cases. In multivariate analysis, pelvic lymph node involvement and PNI were independent prognostic factors for overall survival.\r\nCONCLUSIONS\r\nPerineural invasion is seen in about one-third of patients with cervical carcinoma. Patients affected by PNI represented a decreased overall survival. Further studies are required to get a deeper insight into the clinical impact and the pathogenetic mechanisms of PNI in CX.

@article{Horn.2010b, abstract = {PURPOSE\r\nLimited information exists about the occurrence and the impact of perineural invasion (PNI) in patients with cervical carcinoma (CX).\r\nMETHODS\r\nThe original histologic slides from patients primarily treated by radical hysterectomy and systematic pelvic lymphadenectomy were re-examined regarding the occurrence of PNI. PNI was correlated to recurrence free (RFS) and overall survival (OS).\r\nRESULTS\r\n35.1\% of all patients (68/194) represented perineural invasion (=PNI). The 5-year-overall-survival-rate was significantly decreased in patients representing PNI, when they were compared with those without PNI (51.1\% [95\% CI 38.0-64.2] vs. 75.6\% [95\% CI 67.8-83.4]; p = 0.001). In a separate analysis the prognostic impact persisted in the node negative, but disappeared in the node-positive cases. In multivariate analysis, pelvic lymph node involvement and PNI were independent prognostic factors for overall survival.\r\nCONCLUSIONS\r\nPerineural invasion is seen in about one-third of patients with cervical carcinoma. Patients affected by PNI represented a decreased overall survival. Further studies are required to get a deeper insight into the clinical impact and the pathogenetic mechanisms of PNI in CX.}, added-at = {2014-10-14T15:28:04.000+0200}, author = {Horn, Lars-Christian and Meinel, Alexandra and Fischer, Uta and Bilek, Karl and Hentschel, Bettina}, biburl = {https://www.bibsonomy.org/bibtex/2775977d9edac25eb1f234a4fb895c4cc/drtester}, interhash = {fef30455ccc6b6b2bb792c909df649d2}, intrahash = {775977d9edac25eb1f234a4fb895c4cc}, journal = {Journal of cancer research and clinical oncology}, keywords = {Adult Aged Aged,_80_and_over Female Humans Middle_Aged Neoplasm_Invasiveness Peripheral_Nerves/pathology Prognosis Proportional_Hazards_Models Survival_Rate Uterine_Cervical_Neoplasms/mortality/pathology/surgery}, number = 10, pages = {1557–1562}, timestamp = {2014-10-14T15:28:04.000+0200}, title = {Perineural invasion in carcinoma of the cervix uteri--prognostic impact}, volume = 136, year = 2010 }