Tak W K, Anderson B, Vardi J R, Beecham J B, Marchant D J
Obstet Gynecol. 1977 Aug;50(2):159-65.
One hundred and seventy-nine patients with endometrial carcinoma underwent hysterography as part of their pretreatment evaluation. One hundred and twenty-six women received preoperative irradiation followed by hysterectomy; 30 had surgery alone; while 23 received radical radiotherapy. We have classified hysterograms by the degree of tumor invasion suggested radiographically and have compared these, in the operated cases, with postoperative pathologic examination. Characteristically, lesions confined to the endometrium, or with superficial myometrial penetration, demonstrate either no radiologic abnormality or a small, shallow defect by hysterogram. In those patients with deep myometrial invasion of cancer, hysterograms usually demonstrate a large defect in the endometrial cavity. We believe that hysterography helps assure optimum treatment of each individualized case by helping to determine the volume of tumor and extension into the myometirum.
179例子宫内膜癌患者在进行预处理评估时接受了子宫输卵管造影。126名女性接受了术前放疗，随后进行子宫切除术；30例仅接受了手术；23例接受了根治性放疗。我们根据子宫输卵管造影显示的肿瘤浸润程度对子宫输卵管造影图进行了分类，并在手术病例中将这些造影图与术后病理检查结果进行了比较。典型的情况是，局限于子宫内膜或浅肌层浸润的病变，子宫输卵管造影显示无放射学异常或小而浅的缺损。在那些癌肌层浸润较深的患者中，子宫输卵管造影通常显示宫腔内有大的缺损。我们认为子宫输卵管造影有助于确定肿瘤体积和肌层浸润范围，从而有助于确保对每个个体化病例进行最佳治疗。
