Perez C A, Zivnuska F, Askin F, Kumar B, Camel H M, Powers W E
Cancer. 1975 Jun;35(6):1493-504. doi: 10.1002/1097-0142(197506)35:6<1493::aid-cncr2820350603>3.0.co;2-m.
This is a retrospective analysis of 302 patients with histologically confirmed primary carcinoma of the cervix on whom a dilatation and curettage was performed during the initial workup. The prognostic significance of endometrial extension of the tumor was investigated. Four different types of specimen were identified: 1) endometrial extension of cervical carcinoma; 2) cervical carcinoma in the currettings only; 3) a mixture of normal endometrium and and epidermoid carcinoma in the curettings; 4) no cervical carcinoma noted (negative D&C). The patients were staged according to the FIGO classification. Patients with Stage I carcinoma and positive D&Cs showed significantly lower 3-5 year survival rates (50-60 percent), as opposed to those with D&C.
这是一项对302例经组织学确诊为原发性宫颈癌患者的回顾性分析，这些患者在初始检查期间接受了刮宫术。研究了肿瘤子宫内膜侵犯的预后意义。识别出四种不同类型的标本：1）宫颈癌的子宫内膜侵犯；2）仅刮出物中有宫颈癌；3）刮出物中正常子宫内膜与表皮样癌的混合物；4）未发现宫颈癌（刮宫术结果为阴性）。患者根据国际妇产科联盟（FIGO）分类进行分期。I期癌且刮宫术结果为阳性的患者3至5年生存率显著较低（50%至60%），与之相对的是刮宫术结果为阴性的患者。
