Rosenberg P, Risberg B, Askmalm L, Simonsen E
Department of Gynecologic Oncology, University Hospital of Linköping, Sweden.
Acta Obstet Gynecol Scand. 1989;68(2):157-63. doi: 10.3109/00016348909009905.
278 patients with either stage I or II endometrial carcinoma treated between January 1979 and January 1982 were reviewed, particularly as regards certain prognostic factors. Uterine papillary serous carcinoma (UPSC), FIGO grade 3, nuclear grade 3, and age were the major independent prognostic factors. UPSC was diagnosed in 8% of the patients. The cancer mortality in the non-UPSC group was 7%, vs. 41% in the UPSC group. In the latter group all the deaths occurred within 2 1/2 years. Poorly differentiated non-UPSC had the same cancer death rate as UPSC, but usually had a completely different histological pattern. There was no significant difference in survival between stage I and stage II when corrected for FIGO grade and nuclear grade.
对1979年1月至1982年1月期间接受治疗的278例I期或II期子宫内膜癌患者进行了回顾，特别关注某些预后因素。子宫乳头状浆液性癌（UPSC）、国际妇产科联盟（FIGO）3级、核分级3级和年龄是主要的独立预后因素。8%的患者被诊断为UPSC。非UPSC组的癌症死亡率为7%，而UPSC组为41%。在后一组中，所有死亡均发生在2年半内。低分化非UPSC的癌症死亡率与UPSC相同，但通常具有完全不同的组织学模式。校正FIGO分级和核分级后，I期和II期的生存率无显著差异。
