摘要
目的 :探讨子宫内膜癌患者附件受侵和淋巴结转移对预后的影响。方法 :回顾性分析我院 1986年 1月至1998年 12月间收治的 13例 a期和 12例 c期子宫内膜癌患者临床病理资料和随访结果。结果 : a患者 13例 ,平均年龄 5 9.6岁 (39～ 73岁 ) ,腺癌 10例 ,腺鳞癌 1例 ,浆乳癌 2例 ,复发 3例 ,死亡 2例 ,5年生存率 6 5 .6 % ; c期患者 12例 ,平均年龄 5 6 .6岁 (32～ 72岁 ) ,腺癌 7例 ,腺鳞癌 3例 ,浆乳癌 1例 ,透明细胞癌 1例 ,盆腔淋巴结转移 6例 ,同时伴腹主动脉旁淋巴结转移 4例 ,单纯腹主动脉旁淋巴结转移 2例 ,复发转移 9例 ,其中 8例死亡 ,5年生存率 14.5 %。结论 :子宫内膜癌 c期预后明显差于 a期 ,宫旁淋巴管或血管有癌栓及淋巴结癌转移仍是影响 期子宫内膜癌预后的重要因素 ,术中行淋巴结切除术对子宫内膜癌临床分期和判定预后有重要意义。
s [WT5”BZ]Objective:To Study the prognosis of stage Ⅲaand Ⅲcof endometrial carcinoma.Methord:Analysis the clinopathological features and prognosis of endometrial carcinoma stage Ⅲaand stage Ⅲcretrospectively.Results:① Thirteen cases were stage Ⅲa.Histologically 10 cases were adenocarcinoma,1 case adeno-squmous carcinoma,2cases serous papillary carcinoma.3 cases of stage Ⅲa were recurred,2 of them died with a 5-year survival rate was 65.6%.② Twelve cases were stage Ⅲc,and adenocarcinoma were 7 cases,adeno-squmous carcinoma were 3 cases,serous papillary carcinoma and clear cell cancer was 1 case respectively.8 cases of them were died of recurrence and metastasis.The 5-year survival rate only was 14.5%.Conclusions:The prognosis of stage Ⅲc of endometrial carcinoma was worse than that of stage Ⅲa Involvement of uterine serous,lymphonode metastasis,multi-lesion out of uterine,and lymphovascular invasion(LVI) were the important prognostic factors in stage Ⅲ cases. [WT5”HZ]
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2000年第5期256-257,共2页
Journal of Practical Obstetrics and Gynecology
关键词
子宫内膜癌
治疗
预后
生存率
Ⅲa期
Ⅲc期
WT5”BZ]Endometrial Carcinoma
Treatment
Prognosis
Survival rate
