Ide P
Eur J Obstet Gynecol Reprod Biol. 1984 Dec;18(5-6):343-9. doi: 10.1016/0028-2243(84)90056-x.
With increasing depth of invasion of the endometrial adenocarcinoma in the myometrium an increasing number and percentage of patients with endometrial adenocarcinoma cells in the pouch of Douglas are found. The presence or absence of endometrial tumour cells can be used as an indicator of the depth of invasion in the myometrium. Survival is correlated with the presence of endometrial adenocarcinoma cells in cases with deep invasion; 50% recurrent disease was observed when the fluid was positive, no recurrent disease when negative. No correlation between survival and presence or absence of tumour cells in the Douglas fluid was found in cases with superficial invasion of the tumour in the myometrium.
随着子宫内膜腺癌在子宫肌层浸润深度的增加,在Douglas窝发现子宫内膜腺癌细胞的患者数量及比例也在增加。子宫内膜肿瘤细胞的存在与否可作为子宫肌层浸润深度的一个指标。在浸润较深的病例中,生存率与子宫内膜腺癌细胞的存在相关;当液体呈阳性时,观察到50%的复发疾病,呈阴性时则无复发疾病。在肿瘤在子宫肌层浅浸润的病例中,未发现Douglas液中肿瘤细胞的存在与否与生存率之间存在相关性。