Yoshioka T, Inoue Y, Hoshiai H, Noda K
Dept. of Obstetrics and Gynecology, Kinki University School of Medicine.
Gan To Kagaku Ryoho. 1995 Sep;22(10):1417-22.
We have studied the prognostic factors for cancer of uterine cervix and corpus. Prognostic factors for cervical cancer include clinical stage, histological type, pelvic and paraaortic lymph node metastasis and CPL classification of carcinoma. Prognostic factors for cancer of uterine corpus are concerned with clinical stage, histological type and histological differentiation, muscle invasion, lymph node metastasis, perineal washing cytology and so forth. The clinical stage of course, reflects the prognosis. Although one of the important prognostic factors is lymph no metastasis, there may be recurrence in patients with a poor prognosis in cases in which lymph node metastasis has not been observed. In order to distinguish such cases and to improve their prognosis, it is important to provide treatment individually but combined chemotherapy or radiation therapy, for example, with efforts to detect various prognostic factors.
我们已经研究了子宫颈癌和子宫体癌的预后因素。宫颈癌的预后因素包括临床分期、组织学类型、盆腔和腹主动脉旁淋巴结转移以及癌的CPL分类。子宫体癌的预后因素涉及临床分期、组织学类型和组织学分化、肌层浸润、淋巴结转移、会阴冲洗细胞学检查等。当然,临床分期反映预后。虽然重要的预后因素之一是无淋巴结转移,但在未观察到淋巴结转移的情况下,预后不良的患者仍可能复发。为了区分此类病例并改善其预后,重要的是进行个体化治疗,但例如联合化疗或放疗,并努力检测各种预后因素。