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组织学分级在Ⅱ期子宫内膜癌中的重要性。

The importance of histologic grade in stage II endometrial carcinoma.

作者信息

Goplerud D R, Belgrad R

出版信息

Surg Gynecol Obstet. 1979 Mar;148(3):406-8.

PMID:419444
Abstract

Twenty-six patients with stage II endometrial carcinoma were reviewed. Survival time was found to be influenced most by histology. Fifteen of 19 patients with a favorable histologic grade survived. The combination of stage II disease and unfavorable histologic condition proved to be ominous, as there were no disease-free survivors in this group. Adequate combinations of pelvic irradiation and operation, as well as radiation therapy alone, provided satisfactory local control. Preoperative external irradiation and intracavitary insertion, followed by total abdominal hysterectomy and bilateral salpingo-oophorectomy, are the preferred treatment sequence.

摘要

对26例II期子宫内膜癌患者进行了回顾性研究。发现生存时间受组织学影响最大。19例组织学分级良好的患者中有15例存活。II期疾病与不良组织学状况相结合被证明是预后不良的,因为该组中没有无病生存者。盆腔放疗与手术的适当联合以及单纯放疗均可提供令人满意的局部控制。术前体外照射和腔内插入,随后行全腹子宫切除术和双侧输卵管卵巢切除术是首选的治疗顺序。

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1
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引用本文的文献

1
Pathophysiology and management of endometrial hyperplasia and carcinoma.子宫内膜增生和癌的病理生理学与管理
West J Med. 1990 Jul;153(1):50-61.