Valente S, Marchetti M, Maggino T, Marchesoni D, Fantin G P
Eur J Gynaecol Oncol. 1982;3(2):110-2.
A review of 193 cases of invasive carcinoma of the cervix was undertaken to determine the efficacy of the procedures used in the staging of this disease. All patients underwent pretreatment chest, pelvis, and spine radiographies, intravenous pyelogram, cystoscopy and proctoscopy. Bone scanning was performed too. These patients were retrospectively staged according to findings of the physical examination only. Each additional examination was then evaluated comparing its results with the initial staging. The column Xray did never change the stage; the other radiologic examinations changed the staging as follows: chest Xray 0.5%, pelvis 1%, intravenous pyelogram 2%. Cystoscopy and proctoscopy changed the clinical stage in 5.1% and 2.5% of the cases, respectively. Bone scanning in 1.5%. A review of 54 selected cases was undertaken to determine the presence of positive nodes in patients with carcinomas at stages I and II. In 16 cases of cervicocarcinoma the hystologic examination showed positive pelvic lymph-nodes. The AA, recommend all the reviewed procedures in the staging of carcinoma of the cervix in initial stages too.
对193例宫颈浸润癌患者进行了回顾性研究，以确定该疾病分期所用程序的有效性。所有患者在治疗前均接受了胸部、骨盆和脊柱X光检查、静脉肾盂造影、膀胱镜检查和直肠镜检查。还进行了骨扫描。这些患者仅根据体格检查结果进行回顾性分期。然后对每项额外检查进行评估，将其结果与初始分期进行比较。柱状X光检查从未改变分期；其他放射学检查改变分期的情况如下：胸部X光检查为0.5%，骨盆检查为1%，静脉肾盂造影为2%。膀胱镜检查和直肠镜检查分别使5.1%和2.5%的病例临床分期发生改变。骨扫描使1.5%的病例分期改变。对54例选定病例进行了回顾性研究，以确定I期和II期宫颈癌患者是否存在阳性淋巴结。在16例宫颈癌病例中，组织学检查显示盆腔淋巴结阳性。美国癌症协会（AA）也建议在宫颈癌初始分期时采用所有上述检查程序。
