Abbes M, Guillaume B, Vershoore J, Namer M
Rev Fr Gynecol Obstet. 1984 Feb;79(2):97-100.
Based on 27 rare forms of carcinoma of the endometrium (adenoacanthomas, clear cell adenocarcinomas, mulleroblastomas, leiomyosarcomas), the authors discuss their observations and compare their findings with literature data. The only forms with a more favorable prognosis than cancer of the endometrium is pure adenoacanthoma. Delays in diagnosis remain all too frequent. Post-surgery treatment including chemotherapy appears preferable to surgery alone for these severe lesions which result more often in local recurrences than in pulmonary metastases. New chemotherapy associations (ADR-DTIC) have given results which justify their use, while radiotherapy and curietherapy reduce the number of recurrences, except for leiomyosarcomas.
基于27例罕见类型的子宫内膜癌（腺棘皮癌、透明细胞腺癌、苗勒管胚细胞瘤、平滑肌肉瘤），作者阐述了他们的观察结果，并将其发现与文献数据进行了比较。唯一预后比子宫内膜癌更良好的类型是纯腺棘皮癌。诊断延误仍然过于常见。对于这些严重病变，术后包括化疗的治疗似乎比单纯手术更可取，因为这些病变更常导致局部复发而非肺转移。新的化疗联合方案（阿霉素-达卡巴嗪）已取得了证明其有效性的结果，而放射治疗和镭疗可减少复发次数，但平滑肌肉瘤除外。
