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子宫颈腺癌的治疗及预后[J]. 肿瘤防治研究, 1995, 22(3): 173-175.
引用本文: 子宫颈腺癌的治疗及预后[J]. 肿瘤防治研究, 1995, 22(3): 173-175.
Frognosis and Treatment of Endocervical Adenocarcinoma of the Cervix[J]. Cancer Research on Prevention and Treatment, 1995, 22(3): 173-175.
Citation: Frognosis and Treatment of Endocervical Adenocarcinoma of the Cervix[J]. Cancer Research on Prevention and Treatment, 1995, 22(3): 173-175.

子宫颈腺癌的治疗及预后

Frognosis and Treatment of Endocervical Adenocarcinoma of the Cervix

  • 摘要: 宫颈腺癌的发病率近年呈上升趋势。比较我院26年来宫颈腺癌在宫颈癌中所占的比例从2.6%到8.36%,本文收集1980-1990年间收治的163例宫颈腺癌,Ⅰ期10例、Ⅱ期54例、Ⅲ期88例,Ⅳ期2例。123例单作放疗,31例放疗加手术,9例自动中止治疗,17例失访。按寿命表法累计3、5、10年生存率55.7%、50.42%、47.23%。早期患者无特殊临床症状,易误诊。疗效受临床分期及治疗方法的影响。局部复发为治疗失败的主要原因。对于局部肿瘤大、Ⅱ期以上的病例、桷状宫颈放疗后手术可提高生存率。

     

    Abstract: Abstract Among malignancies of the uterine cervix,the percentage of adenocarcinomas seems to have increased in recent reports.During the last 26-year period, the percentage of adenoearcinoma among all cervical malignancies increased from 2.6% to 8. 36%. Between 1980 and 1990,163 patients with primary invasive adenocarcinoma of the cervix were treated at Jiang su Cancer Institute.10 were in the stage Ⅰ,54 in stage Ⅱ,and 88 in the stage Ⅱ,2 were in stage Ⅳ.123 patients were treated with radiation the rapy, 31 patients recieved combination treatment of radiation and surgery, 9 patients gave up treatment by themself, 17 patients lost follow -up Survival rate was plotted with the life table method describeb by Kaplan and Mener. The cumulative 3, 5, 10 year Survival rate was respectively 45. 7%, 40. 43%, 37. 23%. Early diagnosis is delayed by lack of clinical finding and normal cytologic screening. Survival rate is influenced by stage at presentation and treatment modality. Because radiation responsiveness of adenocarcinoma was no the same as the squamous cancer cell type.Large tumor,stage Ⅱ or beyond disease, uterine enlargement or barrel-shaped leson,would necssitate a combined therapy to improve the cure rate.

     

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