Frognosis and Treatment of Endocervical Adenocarcinoma of the Cervix

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.