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子宫颈葡萄簇肉瘤的综合治疗

COMPREHENSIVE TREATMENT FOR SARCOMA BOTRYOIDES OF UTERINE CERVIX

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【作者】 张国玲陈鸣之吴百生

【Author】 Zhang Guo-ling;Chen Wu-Zhi;wu Bai-sheng Cancer Hospital, Shanghai Medical University, Shanghai

【机构】 上海医科大学肿瘤医院上海医科大学肿瘤医院

【摘要】 <正> 子宫颈葡萄簇肉瘤为罕见,近半个世纪中,国外文献报道仅有73例。本文报告自1971年以来7例综合治疗的临床分析。 材料与方法 本院于1971年~1984年收治子宫颈葡萄簇肉瘤共7例,均经病理证实。年龄:19~40岁(中位年龄

【Abstract】 Seven cases of sarcoma botryoides of uterine cervix were reviewed. The median ageof patients was 23 years old (19-40 years). Four patients were diagnosed as stage Ⅰa, 2as Ⅰb and 1 as Ⅱa. 6/7 cases were treated With surgery, chemotherapy and 1 or radio-therapy, and 1/6 with surgery only. 5 cases in this group survived more than 5 years witha mean 7.9 years of follow-up. The authors recommend that primary treatment shouldconsist of vincristine-dactinomycin based chemotherapy, surgery should be guided theresponse to initial chemotherapy, and radiotherapy should be used for involved resectionmargin or positive lymph nodes.

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