Tellis C J, Beechler C R
Cancer. 1982 Apr 15;49(8):1705-9. doi: 10.1002/1097-0142(19820415)49:8<1705::aid-cncr2820490828>3.0.co;2-6.
The medical records of 243 patients admitted over a five-year period with a diagnosis of carcinoma of the cervix were reviewed to determine (1) the frequency of pulmonary metastasis, (2) the relationship between the stage of the primary lesion and the incidence of pulmonary metastasis, and (3) the relationship between the disease-free interval and the incidence of pulmonary metastasis. We found that pulmonary metastasis had developed in 22 of 243 patients. Pulmonary metastasis occurred in 4.24% of all patients with Stage I carcinoma of the cervix; in 13% of all patients with Stage II; 7.4% of all patients with Stage III; and 57% of all patients with Stage IV disease. The average disease-free interval was 39 months in Stage I disease; 37.3 months in Stage II disease; 18 months in Stage III disease; and less than one month in Stage IV disease. The most common roentgenographic pattern was that of multiple pulmonary nodules (13 of 22 patients). Twenty-five percent (five of 20) of patients with pulmonary metastasis had no evidence of other metastasis.
回顾了243例在五年期间入院诊断为宫颈癌的患者的病历，以确定：（1）肺转移的发生率；（2）原发灶分期与肺转移发生率之间的关系；（3）无病生存期与肺转移发生率之间的关系。我们发现243例患者中有22例发生了肺转移。肺转移在所有I期宫颈癌患者中的发生率为4.24%；II期患者为13%；III期患者为7.4%；IV期患者为57%。I期疾病的平均无病生存期为39个月；II期疾病为37.3个月；III期疾病为18个月；IV期疾病少于1个月。最常见的X线表现是多发肺结节（22例患者中有13例）。25%（20例中有5例）发生肺转移的患者没有其他转移的证据。
