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子宫内膜癌的持续大剂量孕激素治疗

Continuous, high-dose progestogen treatment of endometrial cancer.

作者信息

Szarvas Z, Zsolnai B, Gimes G, Hidvégi J

机构信息

Department of Obstetrics and Gynecology, Semmelweis University Medical School, Budapest, Hungary.

出版信息

Gynecol Obstet Invest. 1987;24(4):262-6. doi: 10.1159/000298812.

Abstract

The morphological effect of a high-dose progestogen (Depo-Provera) on highly differentiated endometrial carcinoma was studied. Thirteen patients were treated by progestogen only, given at the beginning of the treatment in a weekly dose of 1,000 mg for 3 month. Then, progestogen 500 mg was administered for 12 months. Nine patients were operated after the treatment; in 7 of them, a total histological regression was observed. Histological tests of the intraoperatively gained preparations showed 'disappearance' of the original carcinomatous process; only a serious atrophy of the endometrium could be detected.

摘要

研究了高剂量孕激素(醋酸甲羟孕酮)对高分化子宫内膜癌的形态学影响。13例患者仅接受孕激素治疗,治疗开始时每周给予1000mg,持续3个月。然后,给予500mg孕激素治疗12个月。9例患者在治疗后接受了手术;其中7例观察到组织学完全消退。术中所取标本的组织学检查显示原癌性病变“消失”;仅检测到子宫内膜严重萎缩。

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