| 陈月婷 王岸聪 盛修贵.宫颈癌治疗后未控或复发135 例分析[J].,2006,6(2):48-49 |
| 宫颈癌治疗后未控或复发135 例分析 |
| Analysis of clinical and pathological factors in 135 cases of persistent or recurrent cervical cancer |
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| DOI： |
| 中文关键词: 宫颈肿瘤 复发 未控 预后 |
| 英文关键词: Cervical neoplasms Persistence Recurrence Prognosis |
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| 中文摘要: |
| 目的: 探讨宫颈癌治疗后未控、复发的相关因素。方法: 回顾性分析2000 年8 月至2003 年8 月山东省肿瘤医院妇瘤
科收治的135 例治疗后复发或未控的宫颈癌患者的临床病理资料, 分析初治时的发病年龄、临床分期、病理类型、肿瘤分化程度、
肿瘤生长形态、肿瘤大小以及初治方法和完成情况。结果: 发病年龄最小27 岁, 最大72 岁, 平均年龄49. 9 岁, 发病年龄?? 35y 的
患者18 例( 13. 1%) ; ?? 期3 例( 2. 2%) 、?? 期52 例( 38. 5%) 、?? 期80 例60. 0%; 鳞癌104( 75. 6%) 、腺癌26 例( 19. 3%) 、特殊类型7
例( 5. 1%) ; 高分化14 例( 10. 4%) 、中分化88 例( 53. 6%) 、低分化33 例( 24. 4%) ; 糜烂型1l 例( 0. 7%) 、菜花型33 例( 24. 4%) 、结
节型69 例( 51. 1%) 、空洞型27 例( 20%) 、颈管型5 例( 3. 7%) ; 肿瘤直径??4cm 患者93 例( 68. 9%) ; 48 例患者首选手术治疗, 其中
外院手术22 例、术中有肿瘤残留的10 例、术后病理提示具有预后危险因素而未在4 周内补充治疗的17 例; 87 例患者放疗为主,
其中37 例门诊放疗、2 1 例放疗时间超过3 个月。结论: 宫颈癌治疗后未控、复发的相关因素有临床期别晚、非鳞癌等多种, 应争
取早期发现、规范治疗来提高疗效。 |
| 英文摘要: |
| Objective: To approach the factors associated with persistent or recurrent cervical cancer . Methods: Totally, 135 cases of
persistent or recurrent cervical cancer were retrospectively studied. Clinical and patholog ical data including patient?? s age, stage, histological subtype,
grade, tumor size and treatment were reviewed. Results: Ages of onset of the patients ranged from 27 to 72 years, mean age was 49. 9
years, there were 18( 13. 1%) patients with age of onset ?? 35 years. According to International Federation of Gynecology and Obstetrics( FIGO) ,
patients with stages?? , ?? , ?? accounted for 2. 2%, 38. 5%, 60. 0% respectively. Squamous carcinoma, adenocarcinoma, and others accounted
for 104( 75. 6%) , 26( 19. 3%) , 7( 5. 1%) respectively. Well- differentiated, moderately differentiated, poorly differentiated patients accounted
for 14( 10. 4%) , 88( 53. 6%) , 33 ( 24. 4%) respectively. The tumor growth type were as follows: anabrosis 1l( 0. 7%) , cauliflower 33( 24.
4%) , nodus 69( 51. 1%) , cavitas 27( 20%) , canalis cervicis 5 ( 3. 7%) . There were 93( 68. 9%) patients with tumor diameter ??4cm. 48
patients selected surgery and 22 patients had been operated in other hospitals, 10 patients had residual disease, 17 patients had risk prognostic
factors but hadn?? t been given adjuvant therapy in time. Including 37 outpatients, 87 patients selected radiotherapy, 21 patients?? course of therapy
had exceeded 3 months. Conclusion: Many factors are associated with persistent or recurrent cervical cancer such as late stage, non squamous
carcinoma, tumor diameter ??4cm and so on. To enhance the curative effect, we should strive for early discovery and exact therapy. |
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