摘要
目的 探讨子宫内膜癌临床与手术分期的临床意义。方法 对我院初治选择手术治疗的 6 7例子宫内膜癌患者的临床与手术病理资料进行回顾性分析 ,对临床分期与手术分期进行比较 ,并就手术方式进行探讨。结果 两者不符合率为 2 8 36 %。临床Ⅰ期为 2 1 4 2 %(12 / 5 6 ) ,Ⅱ期为 6 6 6 7%(6 / 9)、Ⅲ期为5 0 0 0 %(1/ 2 ) ;病理类型、组织学分级手术前后总的误差率均为 2 9 85 %。临床Ⅰ期中 ,淋巴结转移率为1 78%,肌层浸润者占 73 2 1%、腹腔细胞学检查阳性率为 2 3 79%;临床Ⅱ期中 ,淋巴结转移率为 2 8 5 7%(2 / 7)、肌层浸润者占 88 89(8/ 9)、腹腔细胞学阳性率为 33 33%(2 / 6 )。结论 手术分期较真实地反映了病变范围和病理特性 ,能客观判断预后 ,并指导治疗。
Objective To explore the practical value of surgical-pathological staging for endometrium carcinoma. and select suitable areas of surgery. Methods Sixty-seven patients with endometrium carcinoma accepted primary surgical treatment from January 1992 to December 2002 were analyzed retrospectively in our hospital. The clinical and surgical pathologic staging of these patients were compared.Results The total differences between clinical and surgical-pathological staging were 19(28.36%),in stage Ⅰ21.42%, stage Ⅱ 66.67%(6/9),in stageⅢ 50%(1/2). 29.85% differences with pathological types and 29.85% differences with histological grades were found bettween preoperation and postoperation 1.78% with metastasis to the lymphnodes, 73.21% with myometrial invasion and 23.79% with positive peritoneal cytology were found in clinical stage Ⅰ.In stage Ⅱ 28.57%(2/7) metastasis to the lymphnodes, 88.89%(8/9) with myometrial invasion and 33.33%(2/6) with positive peritoneal were found.Depth of myometrial invasion.Conclusion The surgical staging defines the real extent of endometrium carcinoma witch can be able to assess prognosis objectively and guide therapy for endometrium carcinoma.
出处
《现代肿瘤医学》
CAS
2003年第4期276-278,共3页
Journal of Modern Oncology
