摘要
目的 :探讨子宫内膜癌治疗后复发的原因及其合理的治疗方法。方法 :对 1976～ 1993年收治的 2 9例复发性子宫内膜癌患者的临床资料进行回顾性分析。结果 :3年内复发者占 82 .8% (2 4 / 2 9) ,复发部位以阴道残端最常见 ,占 34.5% (10 / 2 9)。复发后再治疗的 2 5例中 ,6例存活 5年以上 ,未经治疗的 4例均在半年内死亡。结论 :首次治疗方式是影响复发的主要原因。子宫内膜癌应手术配合放疗 ,且术后 3年内应严密随诊 ,复发后再治疗对延长病人生存时间是有意义的 ,放射治疗是复发后的主要治疗手段。
Objective:Analysis the cause of relaspse of uterine endometrial carcinoma after operation and other treatment.Methods:retrospective study were performed in 29 patients with recurret endometrial carcinoma in our hospital from 1976 to 1993.Results:3 months to 6 years after first clinical cure,29 cases relapsed.Recurrence and metastasis were found at vagina、lung、bone、pelvis and abdomen and so on.Among the 29 cases,first diagnosed as stage Ⅰ was 19,stage Ⅱ was 6 and stage Ⅲ was 4.The pathologic types were 21 with adenocarcinoma,3 with adenosquamous carcinoma,1 with clear cell carcinoma,2 with pappiloma adenocarcinoma and adenoacanthoma respectively.Conclusions:we analysis the causes of recurrence,in order to keep our eyes on the high risk factors which can cause recurrence,and explore the appropriate first treatment mode so as to reduce recurrence and treatment number after recurrence,improve the prognosis of endometrial carcinoma.
出处
《肿瘤防治杂志》
2000年第2期169-170,共2页
China Journal of Cancer Prevention and Treatment
关键词
子宫内膜癌
复发
治疗
预后
endometrial carcinoman
recurrence
therapy
prognosis
