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Highlights. • The introduction of lymph node staging at a national level takes time. • 13.6% of intermediate-risk patients had lymph node metastasis. • Only 6% were upstaged from stage I to stage IIIC after lymphadenectomy. • Lymph node metastasis in intermediate-risk patients compromised survival. • Survival was not compromised in non-staged as compared to lymph node-negative patients.
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