Jeffrey J F, Krepart G V, Lotocki R J
Obstet Gynecol. 1986 May;67(5):670-4. doi: 10.1097/00006250-198605000-00013.
The clinical outcome of 15 women with papillary serous adenocarcinoma of the endometrium is presented. In 14 instances the diagnosis was made by uterine curettage. Eight cases (53.3%) were clinically understaged based on laparotomy findings. Intraoperative assessment for extrauterine spread of disease was infrequently performed. Recurrent disease developed in 12 patients (80.0%) with ten arising within the abdomen either alone or in conjunction with another site. Eleven patients (73.3%) have died of disease and two of the four alive have been treated for a recurrence. The need to determine appropriate adjuvant therapy for patients with this disease exists. A protocol for patient management is proposed.
本文介绍了15例子宫内膜乳头状浆液性腺癌患者的临床结局。14例通过刮宫术确诊。根据剖腹探查结果，8例（53.3%）临床分期不准确。术中很少对疾病宫外扩散进行评估。12例患者（80.0%）出现复发，其中10例仅在腹部复发或与其他部位同时复发。11例患者（73.3%）死于该病，4例存活患者中有2例因复发接受了治疗。对于患有这种疾病的患者，需要确定合适的辅助治疗方法。本文提出了患者管理方案。
