摘要
目的分析子宫内膜癌的临床分期与手术病理分期的差异,探讨两种分期方法误差之原因。方法对160例经手术治疗的子宫内膜癌患者的临床与病理资料进行回顾性分析,比较其手术前后手术病理分期的差异。结果临床分期误差率:I期为18.1%,II期为60.0%。手术前后分期误差及病理类型改变的原因有:(1)术前分段诊刮时漏刮受累的宫颈组织或宫腔组织脱入颈管内而造成期别误诊;(2)术前诊刮获取的组织量少,造成难以进行病理分类;(3)个别病例宫颈管粘膜小癌灶诊刮时被刮除等。结论根据手术病理分期指导手术范围及术后辅助治疗的选择,对改善患者的预后有意义。由于临床II期子宫内膜癌分期误差率较高,在诊治上应规范操作。
Objective To analyze the difference between the clinical stage and the operative pathological stage of endometrial cancer and explore the cause of the two staging methodical error. Methods The clinical and pathological data of 160 patients with endometrial cancer was retrospectively analyzed, and the difference of the operative pathological stage were, compared pre-operation and post-operation. Results The error rate of the clinical stage： stage Ⅰ was 18.1% and stage Ⅱ was 60.0%. The pathological types was changed before and after operation. The causes of the error in stage pre- and post-operation and the changes of pathological group were included： （1） the affected cervix or cavitary uteri tissues were shed into cervical duct when performed with fractional curettage before operation and caused stage of misdiagnosis; （2） the tissue dose obtained by fractional curettage before operation was too little to perform with pathological stage; （3）in individual cases, microcarcinoma focus of cervical canals mucosa were erased. Conehtsion It is significant in improving the prognosis of patients to guide the operative field and select the adjunctive treatment post-operation according to the operative pathological stage. The procedure of diagnose and treatment must be standardized because of the high error rate of the stage of endometrial cancer in stage Ⅱ.
出处
《新乡医学院学报》
CAS
2005年第6期582-584,共3页
Journal of Xinxiang Medical University
