De Mûelenaere G F
Br J Obstet Gynaecol. 1976 Jul;83(7):576-9.
An analysis of 155 patients with endometrial carcinoma, first seen more than five years ago, shows that 31 per cent died with tumour. Trans-coelomic spread of tumour was the most frequent cause of death and occurred in 13.6 per cent of all patients and in 17.1 per cent of those who were operable. A second important cause of death was haematogenous spread of tumour (6.5 per cent). Local pelvic recurrence was the cause of death in 25 per cent of those who did not survive, and local spread was found in 2.2 per cent of operable patients. A rational approach to therapy for endometrial carcinoma is suggested.
对155例子宫内膜癌患者进行分析,这些患者首次就诊时间超过五年前,结果显示31%的患者死于肿瘤。肿瘤的经体腔播散是最常见的死亡原因,在所有患者中占13.6%,在可手术患者中占17.1%。第二个重要的死亡原因是肿瘤的血行播散(6.5%)。局部盆腔复发是25%未存活患者的死亡原因,在2.2%的可手术患者中发现有局部播散。文中提出了一种针对子宫内膜癌的合理治疗方法。