Börner P, Prömmel M, Majewski A
Geburtshilfe Frauenheilkd. 1976 Oct;36(10):835-44.
Between 1966 and 1969, 494 patients with carcinoma of the uterine cervix stages I a to IV were admitted in our hospital for primary treatment. In 420 of these patients with carcinoma of the cervix stage I b to IV, complete results of bilateral pretreatment pelvic lymphography are available. The correlation between the results of the lymphographies, the choice of the operative treatment and the cure rates in these 420 cases are reported. All the correlations between the results of the pretreatment lymphography and the prognosis are described. A positive lymphography was in our series of high prognostic value. A plea is therefore made to include the results of the pretreatment lymphography into the classification of carcinoma of the cervix. Classification of the carcinoma of the cervix into the TNM categories is desirable. Our series is reported in these TNM categories. The advantages of such classification are described. The morbid entity of carcinoma of the cervix becomes more transparent to the observer and the choice of operative therapy becomes easier. The prognosis is more clearly established. The proposals of the TNM committee of the UICC for the classification of carcinoma of the cervix according to the TNM categories and the staging according to these categories are discussed critically.
1966年至1969年间，我院收治了494例I a期至IV期子宫颈癌患者进行初次治疗。在这420例I b期至IV期子宫颈癌患者中，可获得双侧治疗前盆腔淋巴造影的完整结果。本文报告了这420例病例中淋巴造影结果、手术治疗选择与治愈率之间的相关性。描述了治疗前淋巴造影结果与预后之间的所有相关性。在我们的系列研究中，阳性淋巴造影具有较高的预后价值。因此，呼吁将治疗前淋巴造影结果纳入子宫颈癌的分类中。将子宫颈癌分类为TNM类别是可取的。我们的系列研究就是按照这些TNM类别报告的。描述了这种分类的优点。子宫颈癌的病变实体对观察者来说变得更加清晰，手术治疗的选择也变得更加容易。预后也更明确。对国际抗癌联盟（UICC）TNM委员会关于根据TNM类别对子宫颈癌进行分类以及根据这些类别进行分期的提议进行了批判性讨论。
