Leppien G
Department of Gynecology and Obstetrics, University of Heidelberg, Federal Republic of Germany.
Arch Gynecol Obstet. 1987;241(1):25-32. doi: 10.1007/BF00931437.
Sarcomas represent only 2%-3% of all female genital tract malignancies. Only 10% occur outside the uterus (vulva, vagina, ovaries, fallopian tubes, uterine ligaments). The morphology of these tumors is sometimes confusing. Sarcomas are often not diagnosed before they reach a very advanced stage. A large percentage of sarcomas occur in very young women. Treatment is not satisfactory and the prognosis has remained bad despite the use of chemotherapy for some tumors (e.g. embryonal rhabdomyosarcoma). Improvements in diagnosis and therapy require pooling of experience and the establishment of an appropriate tumor registry.
肉瘤仅占所有女性生殖道恶性肿瘤的2%-3%。仅10%发生于子宫外(外阴、阴道、卵巢、输卵管、子宫韧带)。这些肿瘤的形态有时令人困惑。肉瘤在达到非常晚期之前往往无法确诊。很大一部分肉瘤发生在非常年轻的女性中。治疗效果并不理想,尽管对某些肿瘤(如胚胎性横纹肌肉瘤)使用了化疗,但其预后仍然很差。诊断和治疗的改善需要积累经验并建立合适的肿瘤登记系统。