摘要
目的探讨宫颈腺样基底细胞癌的临床特征、治疗方式及预后。方法回顾性分析14例宫颈腺样基底细胞癌的临床资料并进行随访。结果14例患者年龄41~63岁,平均年龄53.3岁;5例行筋膜外子宫切除术,9例行广泛性子宫切除术+淋巴结清扫术。术后补充治疗的患者有3例。随访时间为21~118个月,1例失访,2例因其他原因死亡,其他患者均无复发转移及本肿瘤相关性死亡。结论单纯宫颈腺样基底细胞癌肿瘤为惰性,无论治疗方式如何预后均良好,手术方式应趋向于保守,并避免术后的放化疗;如合并其它类型的恶性肿瘤,手术方式及后续治疗则取决于后者的具体情况。
Objective To investigate the clinical features,treatment and prognosis of cervical adenoid basal cell carcinoma.Methods 14 cases of cervical adenoid basal cell carcinoma were retrospectively analyzed and followed up.Results The age of 14 patients ranged from 41 to 63 years,with an average age of 53.3 years.5 underwent extrafascial hysterectomy and 9 underwent extensive hysterectomy plus lymphadenectomy.There were 3 patients who received postoperative supplementary therapy.The follow-up period was 21 to 118 months.One patient was lost to follow-up,2 cases died,and no recurrence,metastasis or tumor-related death occurred in other patients.Conclusion Simple cervical adenoid basal cell carcinoma is indolent,and the prognosis is good regardless of the treatment method.The surgical method should be conservative,and postoperative chemoradiotherapy should be avoided.If other types of malignancy are involved,the surgical approach and subsequent treatment will depend on the latter.
作者
邹美燕
吴海龙
李军
喻金梅
李霞
安云婷
ZOU Meiyan;WU Hailong;LI Jun(Jiangxi Maternal and Child Health Hospital,Nanchang,330000)
出处
《实用癌症杂志》
2022年第9期1526-1527,1532,共3页
The Practical Journal of Cancer
关键词
宫颈肿瘤
腺样基底细胞癌
预后
Cervical neoplasm
Adenoid basal cell carcinoma
Prognosis
