Börner P, Heidenreich W, Majewski A
Geburtshilfe Frauenheilkd. 1977 Feb;37(2):142-9.
Metrium seen from 1969 to 1973 are reported. These results were compared to the results of treatment of carcinoma of the endometrium at the same institution between 1944 and 1960. There was a considerable increase of the mean age of the patients. Consequently the operability was reduced to 74.3%. The necessity to resort to primary radiotherapy rose to 25.7%. Diseases of old age were contra-indications to operative treatment. In cases generally fit for operation the contra-indications to vaginal surgery increased. Vaginal hysterectomy was therefore only employed in 78.5% of the operations. An individualization of the treatment of carcinoma of the endometrium is recommended. Continually good or improved results of the treatment are expected by individualization in the group of patients which already showed impaired health by age or concomittant diseases.
报告了1969年至1973年期间所见的子宫体癌情况。将这些结果与同一机构1944年至1960年期间子宫内膜癌的治疗结果进行了比较。患者的平均年龄有相当大的增加。因此，可手术性降至74.3%。采用原发性放射治疗的必要性升至25.7%。老年疾病是手术治疗的禁忌症。在一般适合手术的病例中，阴道手术的禁忌症增加。因此，阴道子宫切除术仅用于78.5%的手术中。建议对子宫内膜癌的治疗进行个体化。通过对因年龄或伴随疾病而健康状况已受损的患者群体进行个体化治疗，有望持续获得良好或改善的治疗效果。
