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With the burden of advanced cancers, the lack of palliative care services and their integration in cancer care is still a reality. Node involvement is one of the main prognostic factors for cervical cancer. Para-aortic lymph node (PALN) assessment is crucial for treating advanced cervical cancer, to define irradiation fields. Objective of this study was to develop a score predicting para-aortic lymph node involvement in patients with advanced cervical cancer. We performed a multicenter, retrospective, study on 9 French centers from 2000