Matsukuma K, Miyake M, Iino H, Aramaki S, Iwasa T, Azekami M, Nakahara H, Imamura T, Yoshida H, Manabe H
Department of Obstetrics and Gynecology, Kyushu Kouseinekin Hospital, Fukuoka.
Nihon Sanka Fujinka Gakkai Zasshi. 1989 Dec;41(12):1911-5.
The present study was designed to evaluate the efficacy of surgical management of pulmonary metastasis from carcinoma of the uterine cervix. We saw 609 cases of carcinoma of the uterine cervix from 1979 to 1987, and during the same period also saw 110 cases of recurrent carcinoma of the uterine cervix. Fourteen of these 110 cases were identified as having pulmonary metastasis, and in 11 of 14 cases the recurrent tumors were limited to the lung. Seven of these 11 cases underwent pulmonary resection. Six of the 7 survived more than 2 years after pulmonary resection. Among them, 1 patient has survived more than 4 years, and 1 patient more than 8 years. The tumor cells were thought to metastasize to the lung through the vertebral venous plexus (Batson's plexus) which was suggested as a metastatic route by Thomford et al. in their report on recurrent colon cancer. As a result of this study, if the recurrent tumor is clinically limited to the lung in patients with recurrent carcinoma of the uterine cervix, they should be treated by surgical resection of the pulmonary tumor.
本研究旨在评估手术治疗子宫颈癌肺转移的疗效。1979年至1987年期间，我们共诊治609例子宫颈癌患者，同期还诊治了110例子宫颈复发癌患者。这110例患者中有14例被确诊为肺转移，其中11例复发肿瘤局限于肺部。这11例患者中有7例行肺切除术。7例患者中有6例在肺切除术后存活超过2年。其中，1例患者存活超过4年，1例患者存活超过8年。肿瘤细胞被认为是通过椎静脉丛（巴特森丛）转移至肺部，汤姆福德等人在其关于复发性结肠癌的报告中提出这是一条转移途径。本研究结果表明，对于子宫颈复发癌患者，如果复发肿瘤在临床上局限于肺部，应行肺部肿瘤手术切除治疗。
