Gallup D G, Abell M R
Obstet Gynecol. 1977 May;49(5):596-603.
A series of 33 infiltrative adenocarcinomas of the uterine cervix treated during the period from 1965 to 1970 is assessed and compared with a previous series from this institution and with series reported in the literature. The findings indicate that adenocarcinomas constitute and increasing proportion of cervical carcinomas and in this series make up 9.6% of all cervical carcinomas as compared with a previous figure of 5.5%. Five patients in the series were 32 years of age or less, and all had been receiving oral contraceptives for varying periods of time prior to the diagnosis of carcinomas. Radical surgery or irradiation treatment followed by extrafascial conservative hysterectomy in appropriate cases may offer increased survival for operable stages of adenocarcinoma, particularly in the presence of bulky lesions.
对1965年至1970年期间治疗的33例浸润性宫颈腺癌病例进行了评估，并与该机构之前的病例系列以及文献报道的病例系列进行了比较。研究结果表明，腺癌在宫颈癌中所占比例不断增加，在本系列中占所有宫颈癌的9.6%，而之前的比例为5.5%。该系列中有5名患者年龄在32岁及以下，且在诊断为癌症之前均已服用不同时间段的口服避孕药。根治性手术或放疗，必要时辅以筋膜外保守性子宫切除术，对于可手术阶段的腺癌，尤其是存在较大肿块的病例，可能会提高生存率。
