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子宫颈重度发育异常及原位癌的管理与自然病史。

The management and natural history of severe dysplasia and carcinoma in situ of the uterine cervix.

作者信息

Gad C

出版信息

Br J Obstet Gynaecol. 1976 Jul;83(7):554-9. doi: 10.1111/j.1471-0528.1976.tb00885.x.

DOI:10.1111/j.1471-0528.1976.tb00885.x
PMID:952784
Abstract

This report concerns 375 patients seen in Frederiksberg, Denmark, between 1951 and 1972: 103 of them had severe dysplasia and 272 of them carcinoma in situ of the uterine cervix. Thirty patients had no primary treatment: 9 of them developed invasive carcinoma, and 2 of these died; 12 patients had persistent intraepithelial abnormality of the cervix and the other 9 patients showed no abnormality after varying periods of observation. Recurrences after cone biopsy were noted in 9.5 and 10.1 per cent of patients with severe dysplasia and carcinoma in situ respectively, and in 2 per cent of patients who had an in situ carcinoma treated by hysterectomy. This made a total of 15 patients with recurrences. All were ultimately cured although two patients were found to have invasive carcinoma.

摘要

本报告涉及1951年至1972年间在丹麦腓特烈斯贝就诊的375例患者:其中103例有严重发育异常,272例为宫颈原位癌。30例患者未接受初始治疗:其中9例发展为浸润癌,2例死亡;12例患者宫颈上皮内异常持续存在,另外9例患者在不同观察期后未显示异常。锥切活检后,严重发育异常和原位癌患者的复发率分别为9.5%和10.1%,子宫切除治疗原位癌的患者复发率为2%。共有15例患者复发。尽管有2例患者被发现患有浸润癌,但所有患者最终均治愈。

相似文献

1
The management and natural history of severe dysplasia and carcinoma in situ of the uterine cervix.子宫颈重度发育异常及原位癌的管理与自然病史。
Br J Obstet Gynaecol. 1976 Jul;83(7):554-9. doi: 10.1111/j.1471-0528.1976.tb00885.x.
2
The management of dysplasia, carcinoma in situ and microcarcinoma of the cervix.子宫颈发育异常、原位癌及微小癌的管理
J Obstet Gynaecol Br Commonw. 1973 Aug;80(8):673-9. doi: 10.1111/j.1471-0528.1973.tb16048.x.
3
Efficacy of cryosurgical treatment of severe cervical intraepithelial neoplasia.冷冻手术治疗重度宫颈上皮内瘤变的疗效
Obstet Gynecol. 1973 Apr;41(4):501-6.
4
Diagnostic and therapeutic efficacy of cervical conization.宫颈锥切术的诊断和治疗效果。
Am J Obstet Gynecol. 1976 Jan 15;124(2):134-9. doi: 10.1016/s0002-9378(16)33288-4.
5
Colposcopy and the conservative management of cervical dysplasia and carcinoma in situ.阴道镜检查与宫颈发育异常及原位癌的保守治疗
Obstet Gynecol. 1974 Apr;43(4):527-34.
6
Treatment of carcinoma in situ: evaluation of 1609 cases.原位癌的治疗:1609例病例评估
Obstet Gynecol. 1980 May;55(5):539-45.
7
The diagnosis and management of premalignant conditions of the cervix.子宫颈癌前病变的诊断与管理
Clin Obstet Gynaecol. 1976 Aug;3(2):295-315.
8
The treatment of cervical intraepithelial neoplasia by cone biopsy.通过锥形活检治疗宫颈上皮内瘤变。
Am J Obstet Gynecol. 1980 Aug 15;137(8):882-6. doi: 10.1016/s0002-9378(16)32827-7.
9
Prognostic accuracy of cervical cone biopsy.宫颈锥形活检的预后准确性。
Dan Med Bull. 1972 Jun;19(4):119-21.
10
[The diagnosis, management and treatment results in patients with carcinoma in situ of the cervix uteri].
Akush Ginekol (Sofiia). 1990;29(4):48-51.

引用本文的文献

1
[Treatment of carcinoma in situ. II. Evaluation by conization. Treatment after incomplete conization. Treatment by complete conization as only therapy. Conclusions (author's transl)].原位癌的治疗。II. 锥切术评估。锥切不完全后的治疗。仅以完全锥切术作为治疗方法。结论(作者译)
Arch Gynecol. 1979 Sep;227(3):225-47. doi: 10.1007/BF02109623.
2
[Treatment of carcinoma in situ. I. Material. Primary treatment. Treatment after evaluation by ringbiopsy (author's transl)].原位癌的治疗。I. 材料。初次治疗。经环形活检评估后的治疗(作者译)
Arch Gynecol. 1979 Sep;227(3):205-24. doi: 10.1007/BF02109622.