Table 2 Preoperative clinicopathological factors and risk of lymph node metastasis in patients with endometrial cancer.

From: Predictive model for the preoperative assessment and prognostic modeling of lymph node metastasis in endometrial cancer

Category

Univariate

Multivariate

OR

(95%CI)

P value

OR

(95%CI)

P value

(A) NCCH cohort (n = 125)

Biopsy histology (HGEC / LGEC)

1.49

(0.73–3.07)

0.28

MRI

 Myometrial invasion (≥ 50% / < 50%)

4.60

(2.12–10.0)

 < 0.01

3.96*

(1.60–9.78)

 < 0.01

 Tumor diameter (high / low)1

4.04

(1.89–8.64)

 < 0.01

1.97*

(0.80–4.82)

0.14

 Enlarged lymph nodes (positive / negative)

5.22

(1.98–13.7)

 < 0.01

4.45*

(1.41–14.0)

0.01

Serum CA125 level (high / low)2

8.13

(3.34–19.7)

 < 0.01

5.70*

(2.09–15.5)

 < 0.01

(B) SUH cohort (n = 129)

Biopsy histology (HGEC / LGEC)

1.03

(0.41–2.60)

0.95

MRI

 Myometrial invasion (≥ 50% / < 50%)

4.04

(1.68–9.67)

 < 0.01

2.42*

(0.89–6.61)

0.08

 Tumor diameter (high / low)1

2.56

(1.09–5.99)

0.03

1.42*

(0.51–3.95)

0.50

 Enlarged lymph nodes (positive / negative)

5.22

(1.98–13.7)

0.04

2.26*

(0.42–12.2)

0.34

Serum CA125 level (high / low)2

13.4

(5.00–35.9)

 < 0.01

9.40*

(3.31–26.7)

 < 0.01

(C) Combined NCCH cohort and SUH cohort (n = 254)

Biopsy histology (HGEC / LGEC)

1.48

(0.86–2.56)

0.16

MRI

 Myometrial invasion (≥ 50% / < 50%)

4.55

(2.57–8.06)

 < 0.01

3.28**

(1.69–6.36)

 < 0.01

 Tumor diameter (high / low)1

3.29

(1.89–5.74)

 < 0.01

1.73**

(0.89–3.37)

0.11

 Enlarged lymph nodes (positive / negative)

5.45

(2.55–11.7)

 < 0.01

3.59**

(1.40–9.17)

 < 0.01

Serum CA125 level (high / low)2

8.24

(4.50–15.1)

 < 0.01

6.98**

(3.43–14.2)

 < 0.01

  1. OR Odds ratio, CI Confidence interval, NCCH National Cancer Center Hospital, HGEC High-grade endometrial cancer, LGEC Low-gradeendometrial cancer, MRI Magnetic resonance imaging, CA125 Cancer antigen 125, SUH Showa University Hospital.
  2. *Adjusted by statistically significant variables in univariate analysis. **Adjusted by myometrial invasion, enlarged lymph nodes, and serum CA125 level. ***Adjusted by cohort and statistically significant variables in univariate analysis.
  3. 1High level, > 47 mm. 2High level, > 52.3 U/mL(unmenopause) , > 48 U/mL(menopause).