Kenter G G, Ansink A C, Heintz A P, Delemarre J, Aartsen E J, Hart A A
Department of Gynaecology, The Netherlands Cancer Institute (Antoni van Leeuwenhoek Huis), Amsterdam.
Eur J Surg Oncol. 1988 Apr;14(2):187-92.
Histological material was reviewed from the 213 patients who had undergone radical surgery for carcinoma of the uterine cervix stage I and IIA between 1967 and 1981. Squamous carcinoma was found in 179 patients (84.7%). In 39 patients (18%) there were lymph node metastases and in nine (4.2%) tumor spread into the parametrium. Vaso-invasion was present in 49 patients (22%). Prognostic factors were studied by Cox's regression analysis. Lymph node metastases and vaso-invasion were both found to be significantly related to survival rate (P = 0.0001 and P = 0.0008). Stage, cell type, differentiation and invasion depth were of no prognostic importance.
回顾了1967年至1981年间接受子宫颈I期和IIA期癌根治性手术的213例患者的组织学资料。179例患者(84.7%)为鳞状细胞癌。39例患者(18%)有淋巴结转移,9例(4.2%)肿瘤扩散至子宫旁组织。49例患者(22%)存在血管侵犯。通过Cox回归分析研究预后因素。发现淋巴结转移和血管侵犯均与生存率显著相关(P = 0.0001和P = 0.0008)。分期、细胞类型、分化程度和浸润深度无预后意义。