Tangtrakul S, Srisupundit S, Linasmita V, Bullangpoti S, Bhamarapravati Y
Department of Obstetrics & Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1990 Feb;73 Suppl 1:11-4.
Uterine sarcoma is a rare gynecological malignancy. This retrospective study covered a period of 18 years and during that time 15 cases of uterine sarcoma were treated in Ramathibodi Hospital. It represented an incidence of 6 per 10,000 gynecological admissions. There were 9 leiomyosarcomas, 3 endometrial stromal sarcomas, 2 mixed mullerian sarcomas, and one rhabdomyosarcoma. The average age of the patients was 45.67 years, 3 under 40 and five after menopause. The mean parity was 4. The most common presenting symptoms were vaginal bleeding and abdominal mass. The diagnostic curettage was positive in only 2 out of 7 cases. All were treated by hysterectomy and bilateral salpingo-oophorectomy. Two out of 4 cases who received adjuvant radiotherapy or chemotherapy were still-alive at 1 and 3 year follow-up. The crude survival rate was 40 per cent.
子宫肉瘤是一种罕见的妇科恶性肿瘤。这项回顾性研究历时18年，在此期间，拉玛提博迪医院共治疗了15例子宫肉瘤患者。其发病率为每10000例妇科住院患者中有6例。其中有9例平滑肌肉瘤、3例子宫内膜间质肉瘤、2例混合性苗勒管肉瘤和1例横纹肌肉瘤。患者的平均年龄为45.67岁，3例年龄在40岁以下，5例在绝经后。平均产次为4次。最常见的症状是阴道出血和腹部肿块。7例诊断性刮宫中只有2例呈阳性。所有患者均接受了子宫切除术和双侧输卵管卵巢切除术。4例接受辅助放疗或化疗的患者中，有2例在1年和3年随访时仍存活。粗生存率为40%。
