Chang C Y, Wu C H, Chang T H, Wang K G, Lee Y N, Lan C C
Zhonghua Yi Xue Za Zhi (Taipei). 1989 Apr;43(4):264-8.
A review of 573 previously untreated patients with invasive cervical carcinoma was undertaken to determine the significance of the routine pretreatment performance of chest x-ray, intravenous pyelography (IVP), cystoscopy and sigmoidoscopy. Chest x-ray was performed in 570 patients (99.5%), IVP in 514 (89.7%), cystoscopy, 502 (87.6%) and sigmoidoscopy, 496 (86.6%). The overall yield of tumor-related abnormalities demonstrated in chest x-ray, IVP, cystoscopy and sigmoidoscopy was 1.8%, 9.1%. 6.4% and 1.2% respectively. The chest x-ray findings changed the initial clinical stage in 1.3% of cases, IVP in 4.2%, cystoscopy in 4.0% and sigmoidoscopy in 0.6%. There were 5 instances of bladder involvement and 5 of bullous edema of the bladder found in patients originally classified as having stage I or stage II disease. Thus, to omit cystoscopy may not be so safe in patients with stage I and stage II diseases. We suggest that chest x-ray, IVP and cystoscopy should be performed as part of staging in all patients with cervical carcinoma, however, sigmoidoscopy can be reserved for those initially diagnosed to have advanced disease or symptomatic patients.
对573例未经治疗的浸润性宫颈癌患者进行了回顾性研究，以确定胸部X光、静脉肾盂造影（IVP）、膀胱镜检查和乙状结肠镜检查等常规预处理检查的意义。570例患者（99.5%）进行了胸部X光检查，514例（89.7%）进行了IVP检查，502例（87.6%）进行了膀胱镜检查，496例（86.6%）进行了乙状结肠镜检查。胸部X光、IVP、膀胱镜检查和乙状结肠镜检查显示的与肿瘤相关异常的总体检出率分别为1.8%、9.1%、6.4%和1.2%。胸部X光检查结果使1.3%的病例的初始临床分期发生了改变，IVP检查为4.2%，膀胱镜检查为4.0%，乙状结肠镜检查为0.6%。在最初分类为I期或II期疾病的患者中，发现5例膀胱受累和5例膀胱大疱性水肿。因此，对于I期和II期疾病的患者，省略膀胱镜检查可能不太安全。我们建议，胸部X光、IVP和膀胱镜检查应作为所有宫颈癌患者分期的一部分进行，然而，乙状结肠镜检查可保留给那些最初诊断为晚期疾病的患者或有症状的患者。
