Ryo E, Yorinaga Y, Nagasaka T, Yoshikawa H, Taketani Y
Department of Obstetrics and Gynecology, Musashino Red Cross Hospital, and University of Tokyo, Tokyo, Japan.
Acta Obstet Gynecol Scand. 2001 Apr;80(4):364-7. doi: 10.1034/j.1600-0412.2001.080004364.x.
Our purpose was to investigate the spillage of the endometrial carcinoma cells to the vaginal cavity and vaginal stump during the surgery.
Cytologic examination of specimens obtained from the vaginal cavity and vaginal stump during surgery performed on 15 patients with endometrial carcinoma. And the risk factors of carcinoma cell spillage to the vaginal cavity were investigated.
Carcinoma cells from the vaginal cavity were negative for nine patients and positive for six patients. Those from the vaginal stump were negative for l4 patients and positive for one patient. In one patient, both were positive. Total abdominal hysterectomy might be one risk of carcinoma cell spillage to the vaginal cavity compared with modified radical hysterectomy and radical hysterectomy.
Endometrial carcinoma cells were spilled into the vaginal cavity in not a few cases and their spillage from there to the vaginal stump could follow during the surgery.
我们的目的是调查子宫内膜癌细胞在手术过程中向阴道腔和阴道残端的播散情况。
对15例子宫内膜癌患者手术中从阴道腔和阴道残端获取的标本进行细胞学检查。并调查癌细胞播散至阴道腔的危险因素。
阴道腔癌细胞检查9例为阴性，6例为阳性。阴道残端癌细胞检查14例为阴性，1例为阳性。有1例患者两者均为阳性。与改良根治性子宫切除术和根治性子宫切除术相比，全腹子宫切除术可能是癌细胞播散至阴道腔的一个危险因素。
不少病例中子宫内膜癌细胞会播散至阴道腔，且在手术过程中可能会从阴道腔播散至阴道残端。
