2009 年 FIGO 分期对子宫内膜癌的预后价值：E3N 队列的说明。
Prognostic value of the 2009 FIGO staging for endometrial cancer: an illustration of the E3N cohort.
机构信息
Department of Obstetrics and Gynaecology, APHP Hôpital Bichat, Paris, France.
出版信息
Int J Gynecol Cancer. 2012 Mar;22(3):447-51. doi: 10.1097/IGC.0b013e31824384ca.
OBJECTIVE
To compare the prognostic values of the 1988 and 2009 International Federation of Gynecology and Obstetrics (FIGO) classifications for endometrial cancer.
MATERIALS AND METHODS
From 1990 to 2008, patients undergoing surgery for endometrial cancer were extracted from the French prospective "Etude Epidémiologique auprès de femmes de l'Education Nationale" cohort study. Inclusion criteria were as follows: (1) an available detailed histologic report of primary surgical procedure and (2) available cause and date of death. Concordance indexes for the 1988 and 2009 FIGO classifications were compared.
RESULTS
Three hundred ninety-seven patients fulfilled the inclusion criteria. The concordance index for the 2009 FIGO classification was lower than that of the 1988 FIGO classification (0.76 vs 0.77, respectively).
CONCLUSION
In this study, the 1988 FIGO classification for endometrial cancer is at least as accurate as the 2009 FIGO classification for predicting endometrial cancer mortality.
目的
比较 1988 年和 2009 年国际妇产科联合会（FIGO）分类系统对子宫内膜癌的预后价值。
材料与方法
本研究从 1990 年至 2008 年，从法国前瞻性“国民教育妇女队列研究”中提取了因子宫内膜癌行手术治疗的患者。纳入标准如下：（1）详细的原发性手术组织学报告可用；（2）死因和死亡日期可用。比较了 1988 年和 2009 年 FIGO 分类的一致性指数。
结果
共有 397 例患者符合纳入标准。2009 年 FIGO 分类的一致性指数低于 1988 年 FIGO 分类（分别为 0.76 和 0.77）。
结论
在这项研究中，1988 年 FIGO 分类系统对预测子宫内膜癌死亡率的准确性至少与 2009 年 FIGO 分类系统相当。
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