Di Pietrantonj F, Proietti A, Cardinali M, Fabbietti L, Di Furia L, Giulioni M
Divisione di Radioterapia, Ospedale Generale Regionale, Torrette, Ancona.
Minerva Med. 1993 Nov;84(11):603-14.
Findings were reviewed of 518 female patients with carcinoma of the body of the uterus treated and followed up during the 12 year period 1970-1982. For the patients treated with total hysterectomy and bilateral salpingo-oophorectomy followed by postoperative radiation therapy, the five-year overall survival was 88% for stage I histologic grade G1, as compared with 73% for stage I grade G2 + G3 and 48% for stages II + III. The survival rates were also analyzed in terms of myometrial infiltration. The rates of pelvic and paraaortic nodal metastases were analyzed; these observations suggested that routine postoperative radiotherapy should be considered.
回顾了1970年至1982年这12年间接受治疗和随访的518例子宫体癌女性患者的研究结果。对于接受全子宫切除加双侧输卵管卵巢切除术后进行放射治疗的患者,Ⅰ期组织学G1级的五年总生存率为88%,而Ⅰ期G2+G3级为73%,Ⅱ+Ⅲ期为48%。还根据肌层浸润情况分析了生存率。分析了盆腔和腹主动脉旁淋巴结转移率;这些观察结果提示应考虑常规术后放疗。