摘要
目的：分析华西第二医院近7年妇科恶性肿瘤的临床特点，为肿瘤防治工作提供理论依据。方法：我院1998年～2004年收治妇科恶性肿瘤患者2409例，按年龄分≤20岁、21，40岁、41-60岁和≥61岁四组进行回顾性分析。结果：（1）41—60岁组占55．1％；（2）宫颈癌（33．1％）、卵巢恶性肿瘤（29＋8％）和子宫内膜癌（24．5％）居前三位；（3）各年龄组肿瘤常见部位：≤20岁组为卵巢（76．2％），21—40岁组为宫颈（49．8％），41—60岁组为子宫内膜（31．2％）、宫颈（29．4％）和卵巢（28．9％），≥61岁组为子宫内膜（35．1％）和卵巢04．8％）；（4）卵巢恶性肿瘤中，≤20岁组生殖细胞肿瘤占56．3％，交界性肿瘤占上皮性肿瘤66．7％，其中78．1％保留了生育功能。结论：妇科恶性肿瘤高发年龄为41—60岁，以宫颈癌、卵巢癌和子宫内膜癌常见；小于20岁女性体检也应包括盆腔检查，必要时行宫颈癌筛查；治疗应适度，年轻患者应尽量保留生育功能。
Objective： To retrospectively analyze clinical data of 2409 patients with gynecologic malignancy. Methods： All cases were diagnosed in the second West China Hospital from 1998 to 2004, and were divided into four groups by ages （ ≤20- year- old age, 21 - to 40 - year - old age, 41 - to 60 - year - old age and 61 - year - old age）. Their clinical characters were reviewed and compared. Results： 1. The 41 - to 60 - year - old age group had the greatest number of cases for the entire cohort （55.1%）. 2.The most common primary site was cervix （33.1%）, ovary （29.8%） and endometrium （24.5%）. 3. The most common primary site of the ≤ 20 - year - old age group and the 21 - to 40 - year - old age group were ovary {76.2% ） and cervix {49.8% ）, respectively. Carcinoma of endometrium, cervix and ovary were common in the 41 - 60 - year -old age group with 31.2%, 29.4%, 28.9%, respectively. Carcinoma of endometrium and ovary were common in the last group with 35.1% and 34.8%, respectively. 4.In the ≤20- year- old age group, the germ cell was the most common histology among ovarian malignancies {56.3%}, borderline ovarian tumors was also common in the epithelial tumor （66.7%}, and 78% of them preserved fertility. Conclusion： Carcinoma of cervix, ovary and endometrium were the most common gynecologic malignancies. Women of 41 - 60 - year age should atlaeh importance to gynecological examination, while health maintenance programs for patients under 20 years of age should continue to include pelvic exams and Pap test screening. We should maximum preserve fertility in the management of gynecologic malignancies in young women.
出处
《华西医学》
CAS
2007年第1期28-29,共2页
West China Medical Journal
关键词
妇科恶性肿瘤
临床特征
构成比
Gynecologic malignancies
Clinical features
Composition ratio
