Webb M J, Sheehan T M
Section of Gynecologic Surgery, Mayo Clinic, Rochester, MN 55905.
Aust N Z J Obstet Gynaecol. 1989 Feb;29(1):47-51. doi: 10.1111/j.1479-828x.1989.tb02876.x.
One hundred and seventy-six cases of cancer of the cervix in women age 35 years or less from 1959 to 1980 were compared with 65 cases occurring in the 5-year period from 1982 to 1986. The incidence of the disease in this age group changed little over this time, increasing from 9% to 11%. However, the incidence of adenocarcinoma cell types increased from 10% in the first period to 25% in the more recent cases. A change in management resulted in increased surgical emphasis in treatment; only 24% were treated surgically in the earlier group compared to 80% in the recent group. There has not been an increase in advanced cases or mortality in those young patients in recent years.
将1959年至1980年期间176例35岁及以下女性宫颈癌病例与1982年至1986年这5年期间发生的65例病例进行了比较。该年龄组疾病的发病率在这段时间内变化不大，从9%升至11%。然而，腺癌细胞类型的发病率从第一阶段的10%增加到最近病例中的25%。治疗方式的改变导致手术在治疗中的重点增加；早期组仅24%接受手术治疗，而最近组为80%。近年来，这些年轻患者中晚期病例或死亡率并未增加。
