Nakayama K, Hirai Y, Chen J T, Shimizu Y, Hamada T, Fujimoto I, Yamauchi K, Hasumi K, Masubuchi K
Department of Gynecology, Cancer Institute Hospital, Tokyo.
Nihon Sanka Fujinka Gakkai Zasshi. 1989 Jun;41(6):702-6.
The Department of Gynecology of the Cancer Institute Hospital diagnosed and treated 226 cases of stump cancer between 1950 and 1983. We obtained the following results. 1) The age of the subjects ranged from 32 to 78 years. The highest frequency age group was 50 to 59 (44.7%) with 101 cases, giving an average age of 53.8 years. 2) Subtotal hysterectomy was performed at ages 23 to 64, the average age being 39.5. 105 patients (46.5%) underwent subtotal hysterectomy between the ages of 40 and 49. 3) The major reasons for subtotal hysterectomy were myoma in 181 cases (80.1%), benign ovary tumor in 12 cases (5.3%), ectopic pregnancy in 10 cases (4.4%), cystic mole in 6 cases (2.7%) and cesarean section in 5 cases (2.2%). 4) Major subjective symptoms of stump cancer were metrorrhagia in 164 cases (72.6%) and fluor in 30 cases (13.3%). 24 cases (10.6%) were asymptomatic. 5) The hystological types were squamous cell carcinoma in 208 cases (92.0%), adenocarcinoma in 17 cases (7.5%), and adenosquamous cell carcinoma in 1 case (0.4%). These ratios were similar to those of cervical cancer cases treated over the same period. 6) The stages of cancer advancement were stage 0 in 24 cases (10.6%), stage I in 51 cases (22.6%), stage II in 96 cases (42.5%), stage III in 50 cases (22.1%), and stage IV in 5 cases (2.2%). The percentage of stage 0 cases was lower than that for general cervical cancer of the uterus.(ABSTRACT TRUNCATED AT 250 WORDS)
癌症研究所医院妇科在1950年至1983年间诊断并治疗了226例残端癌患者。我们得出了以下结果。1）患者年龄在32岁至78岁之间。最高发年龄段为50至59岁（44.7%），共101例，平均年龄为53.8岁。2）次全子宫切除术的实施年龄在23岁至64岁之间，平均年龄为39.5岁。105例患者（46.5%）在40至49岁之间接受了次全子宫切除术。3）次全子宫切除术的主要原因是子宫肌瘤181例（80.1%）、良性卵巢肿瘤12例（5.3%）、异位妊娠10例（4.4%）、葡萄胎6例（2.7%）以及剖宫产术后5例（2.2%）。4）残端癌的主要主观症状为阴道出血164例（72.6%）和白带增多30例（13.3%）。24例（10.6%）无症状。5）组织学类型为鳞状细胞癌208例（92.0%）、腺癌17例（7.5%）以及腺鳞癌1例（0.4%）。这些比例与同期治疗的宫颈癌病例相似。6）癌症进展阶段为0期24例（10.6%）、I期51例（22.6%）、II期96例（42.5%）、III期50例（22.1%）以及IV期5例（2.2%）。0期病例的百分比低于一般子宫颈癌。（摘要截断于250字）
