节点文献
宫内膜癌115例临床病理与预后分析
A clinicopathologic and prognostic analysis of 115 cases of endometrial carcinoma.
【Author】 LILing, YUXiaoHong, LILongYu, et al. Department of Oncology, Jiangxi Maternity and Child Hygiene Hospital, Nanchang 330006, P.R.China
【机构】 江西省妇幼保健院；
【摘要】 目的:探讨子宫内膜癌的临床,病理特点以及影响预后因素。方法对我院1997年 -1999年间初治为手术治疗的115例子宫内膜癌患者的临床资料进行回顾性的分析,对影响预后的因素进行分析。结果 115例平均发病年龄56．7岁,在获访的90例中,手术病理分期I期5年生存率为97．6％,Ⅱ期的5年生存率为90．9％,III期的为61．9％,Ⅳ期的为0％。 I, Ⅱ期与III,Ⅳ期的5年生存率差异有显著性(p<0．05)。病理分级I级的盆腔及腹主动脉旁淋巴结转移率为3．1％(1／32)II级为5．6％(3／54)III级为33．3％(6／20),I, Ⅱ级与Ⅲ级的淋巴结转移的差异有显著性(P<0．025)．结论:子宫内膜癌手术病理分期能客观判断预后,组织学分级与盆腔及腹主动脉旁淋巴结转移相关。
【Abstract】 Objective To explore the character of clinical and pathology for endometrial carcinoma and prognostic factors. Methods One hundred and fifteen patients with endometrial carcinoma accepted primary surgical treatment from June 1997 to June 1999 were analyzed retrospectively in our hospital. The prognostic factors were discussed in the cases. Results The average age of the patients was 56.7 years. There are 90 cases getting the follow up results. The 5 years survival rates of 90 patients re 97.6% and 90. 9% in surgical-pathologic stage I and II 61.9% and 0% in stage III and IV. The difference of the 5 year survival rates between the stage I, II and stage III, IV is significant. The rate of extent of pelvic and abdominal cavity lymph in pathological grade I is 3. 1% (1/32). grade II is 5. 6%(3/54). grade III is 33. 3%(6/20) (p<0. 025 ). Conclusions The surgical-pathologic staging of endometrial carcinoma is able to assess prognosis objectively. The pathological grades were related to the extent of pelvic and abdominal cavity lymph.
【Key words】 Endometrial neoplasm； Neoplasm staging. Pathology Neoplasm metastasis, Prognosis.；
- 【会议录名称】 江西省第五次中西医结合妇产科学术交流会论文汇编
- 【会议名称】江西省第五次中西医结合妇产科学术交流会
- 【会议时间】2005-09
- 【会议地点】中国江西南昌
- 【分类号】R737.33
- 【主办单位】江西省中西医结合学会