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日本妇产科学会妇科肿瘤学委员会年度报告:2020年年度患者报告及2015年年度治疗报告

Annual report of the Committee on Gynecologic Oncology, the Japan Society of Obstetrics and Gynecology: Annual Patient Report for 2020 and Annual Treatment Report for 2015.

作者信息

Yoshino Kiyoshi, Kurita Tomoko, Takahashi Fumiaki, Nagase Satoru

机构信息

Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Kitakyusyu, Japan.

Department of Information Science, Iwate Medical University, Yahaba, Japan.

出版信息

J Obstet Gynaecol Res. 2023 Nov;49(11):2584-2592. doi: 10.1111/jog.15767. Epub 2023 Aug 21.

Abstract

AIM

To provide information including the trend of gynecological malignancies in Japan, we hereby present the annual patient report for 2020 and the Annual Treatment Report for 2015, on the outcomes of patients who started treatment in 2015.

METHODS

The Japan Society of Obstetrics and Gynecology maintains an annual tumor registry, where information on gynecological malignancies from various participating institutions is gathered. The data of patients whose treatment with gynecologic malignancies was initiated in 2020 were analyzed retrospectively. Survival of the patients who started treatment with cervical, endometrial, and ovarian cancer in 2015 was analyzed by using the Kaplan-Meier, log-rank, and Wilcoxson tests.

RESULTS

Treatment was initiated in 2020 for 7689 patients with cervical cancer, 13 113 with endometrial cancer, 8004 with ovarian, tubal, and peritoneal cancer, 2152 with ovarian borderline tumors, and with the others (260 vulvar cancer, 157 vaginal cancer, 464 uterine sarcoma, 50 uterine adenosarcoma, 136 trophoblastic diseases). This clinicopathological information was summarized as the patient annual report. The 5-year survival rates of the patients with cervical cancer were 92.3%, 76.2%, 56.5%, and 32.2% for Stages I, II, III, and IV, respectively. The 5-year survival rates for the patients with endometrial cancer were 93.9%, 87.6%, 71.4%, and 29.3% for Stages I, II, III, and IV, respectively. The 5-year survival rates for the patients with ovarian cancer (surface epithelial-stromal tumors) were 91.7%, 80.6%, 50.8%, and 39.7% for Stages I, II, III, and IV, respectively.

CONCLUSION

The annual tumor report is an important survey that provides knowledge on gynecological malignancy trends in Japan.

摘要

目的

为提供包括日本妇科恶性肿瘤趋势在内的信息,我们在此呈现2020年年度患者报告以及2015年年度治疗报告,内容涉及2015年开始治疗的患者的治疗结果。

方法

日本妇产科学会维持一个年度肿瘤登记处,收集来自各个参与机构的妇科恶性肿瘤信息。对2020年开始接受妇科恶性肿瘤治疗的患者数据进行回顾性分析。采用Kaplan-Meier法、对数秩检验和Wilcoxson检验分析2015年开始接受宫颈癌、子宫内膜癌和卵巢癌治疗的患者的生存率。

结果

2020年开始治疗的患者中,宫颈癌7689例,子宫内膜癌13113例,卵巢、输卵管和腹膜癌8004例,卵巢交界性肿瘤2152例,其他(外阴癌260例、阴道癌157例、子宫肉瘤464例、子宫腺肉瘤50例、滋养细胞疾病136例)。这些临床病理信息汇总为患者年度报告。宫颈癌患者I、II、III和IV期的5年生存率分别为92.3%、76.2%、56.5%和32.2%。子宫内膜癌患者I、II、III和IV期的5年生存率分别为93.9%、87.6%、71.4%和29.3%。卵巢癌(表面上皮-间质肿瘤)患者I、II、III和IV期的5年生存率分别为91.7%、80.6%、50.8%和39.7%。

结论

年度肿瘤报告是一项重要的调查,提供了日本妇科恶性肿瘤趋势的相关知识。

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