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子宫体I期癌的根治性手术。

Radical surgery in stage I carcinoma of the corpus uteri.

作者信息

Iversen T, Holter J

出版信息

Br J Obstet Gynaecol. 1981 Nov;88(11):1135-9. doi: 10.1111/j.1471-0528.1981.tb01768.x.

DOI:10.1111/j.1471-0528.1981.tb01768.x
PMID:7295604
Abstract

Thirty-four patients with stage I adenocarcinoma of the corpus uteri were selected for radical hysterectomy combined with bilateral transperitoneal pelvic lymphadenectomy and followed 8 to 15 years. Metastases to the pelvic lymph nodes were diagnosed in 18%. Invasion of tumour in lymph or blood vessels was found in 17 patients, and five of these patients had lymph node metastases whereas this was true in only one out of 17 patients without demonstrable vessel invasion. The 5-year crude survival was 80% with 15% urinary tract complications.

摘要

34例子宫体I期腺癌患者接受了根治性子宫切除术联合双侧经腹盆腔淋巴结清扫术,并随访8至15年。盆腔淋巴结转移的诊断率为18%。17例患者发现肿瘤侵犯淋巴管或血管,其中5例有淋巴结转移,而在17例未发现血管侵犯的患者中只有1例发生淋巴结转移。5年粗生存率为80%,尿路并发症发生率为15%。

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