Jian S
Affiliated Hospital of Shandong Medical University, Jinan.
Zhonghua Fu Chan Ke Za Zhi. 1992 Jul;27(4):227-9, 251.
Ten cases of carcinoma of the cervical stumps from Jan. 1965 to Dec. 1990 were analysed. All of the patients received subtotal hysterectomy because majority of patients suffered from benign uterine tumors except one case of ovarian cystadenocarcinoma. The age range of the patients was 40-65 years old. The stump carcinoma was discovered 2-18 years later after primary operations. The average duration was 10.3 years. Only one patient died of 2 years after treatment, remaining patients have good health by surgical and radiotherapy. The authors emphasize that the key to prevent the cervical stump carcinoma is to avoid missing diagnoses of the precancerous lesion and cancer of the cervix, and to closely follow-up the patients with the stumps.
分析了1965年1月至1990年12月间的10例宫颈残端癌病例。所有患者均接受了子宫次全切除术,除1例卵巢囊腺癌外,大多数患者患有良性子宫肿瘤。患者年龄范围为40 - 65岁。残端癌在初次手术后2 - 18年被发现,平均病程为10.3年。仅1例患者在治疗后2年死亡,其余患者经手术和放疗后健康状况良好。作者强调,预防宫颈残端癌的关键是避免漏诊宫颈的癌前病变和癌症,并对有残端的患者进行密切随访。