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[妇科恶性肿瘤的描述性流行病学及预后]

[Descriptive epidemiology and prognosis of malignant gynecologic tumors].

作者信息

Kolles H, Stegmaier C, von Seebach H B, Ziegler H

机构信息

Pathologischen Institut des Städtischen Krankenhauses Neunkirchen/Saar Akademisches Lehrkrankenhaus der Universität des Saarlandes.

出版信息

Geburtshilfe Frauenheilkd. 1989 Jun;49(6):573-8. doi: 10.1055/s-2008-1035842.

Abstract

Based on data from the Saarland (W. Germany) Cancer Registry, epidemiology and prognosis of gynaecological malignancies is presented for the period 1971-1985. Breast cancer is the most frequent gynaecological tumour followed by tumours of the uterus (cervix + corpus). This is in accordance with worldwide observations. The age distribution of all analysed tumour localisations follows approximately a normal distribution with a maximum between 60 and 65 years of age. Tumours of the breast, cervix and corpus have almost the same prognosis (5-year-survival-rate greater than 60%); the prognosis of ovarian cancer is distinctly poorer. A clear decrease in the incidence is observed only for cervical cancer. The indications are that the proportion of aged patients is continually rising. The mortality, on the other hand, does not increase to the same extent, which indicates a progressive success of therapy of gynaecological malignancies. Since the Saarland Cancer Registry is the only population-based unit functioning for a sufficiently long period, the results represent a model of the situation in the Federal Republic of Germany.

摘要

根据萨尔州(德国西部)癌症登记处的数据,介绍了1971 - 1985年期间妇科恶性肿瘤的流行病学和预后情况。乳腺癌是最常见的妇科肿瘤,其次是子宫肿瘤(宫颈 + 宫体)。这与全球观察结果一致。所有分析的肿瘤部位的年龄分布大致呈正态分布,峰值在60至65岁之间。乳腺癌、宫颈癌和宫体癌的预后几乎相同(5年生存率大于60%);卵巢癌的预后明显较差。仅宫颈癌的发病率明显下降。有迹象表明老年患者的比例在持续上升。另一方面,死亡率没有以相同程度增加,这表明妇科恶性肿瘤的治疗取得了渐进性的成功。由于萨尔州癌症登记处是唯一长期运作的基于人群的单位,这些结果代表了德意志联邦共和国的情况模型。

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