期刊文献+

手术治疗Ⅰ_b、Ⅱ_a期宫颈癌预后比例风险分析 被引量:3

在线阅读 下载PDF
导出
摘要 目的:探讨手术治疗Ⅰb、Ⅱa期宫颈癌预后相关因素。方法:采用回顾性分析方法,对我院妇科1999年6月-2007年6月手术治疗的宫颈癌患者124例进行Cox比例风险分析。结果:腺癌(OR=2.301)、肿瘤低分化(OR=0.463)、深肌层浸润(OR=3.967)、瘤栓(OR=3.634)、盆腔淋巴结阳性(OR=3.981)与预后相关,其中病理类型、肿瘤分化程度、深肌层浸润、盆腔淋巴结转移是影响预后的独立危险因素。结论:病理类型和肿瘤分化程度是影响Ⅰb、Ⅱa期宫颈癌预后的不可控因素,有深层肌浸润和盆腔淋巴结阳性的患者,尽可能行广泛性全子宫切除并彻底淋巴结清扫。
出处 《医学理论与实践》 2009年第6期683-685,共3页 The Journal of Medical Theory and Practice
  • 相关文献

参考文献10

  • 1Jancárková N,Krkavcová M,Janashia M.Importance of chromosomal changes correlated to prognostic factors in ovarian and cervical malignant tumors[J].Ceska Gynekol,2008,73(2):79-86.
  • 2Yoichi A,Masaru S,Minour W,et al.High risk group in node-positive patients with stageⅠb,Ⅱa and Ⅱb cervical carcinoma after radical hysterectomy and postoperative pelvic irradiation[J].Gynecol Oncol,2000,77 (3):305-309.
  • 3程玺,蔡树模,李子庭,臧荣余,唐美琴,薛木泉,何国照.ⅠB-Ⅱ期宫颈癌患者预后高危因素的临床分析[J].临床肿瘤学杂志,2003,8(2):90-93. 被引量:20
  • 4李胜泽,马玲.Ⅰb、Ⅱ期宫颈癌淋巴结状态与预后的关系研究[J].中国癌症杂志,2002,12(4):323-325. 被引量:16
  • 5章文华,吴令英,白萍,李淑敏,张蓉,李斌,孙建衡,吴爱如.ⅠB期和ⅡA期宫颈癌患者的预后因素分析[J].中华肿瘤杂志,2004,26(8):490-492. 被引量:41
  • 6王平,路平.Cox回归探讨宫颈癌预后影响因素[J].国外医学(妇幼保健分册),2002,13(5):273-275. 被引量:17
  • 7Chen J,Macdonald OK,Gaffney DK,et al.Incidence,mortality,and prognostic factors of small cell carcinoma of the cervix[J].Obstet Gynecol,2008,111(6):1394-1402.
  • 8Lee JW,Kim BG,Lee SJ,et al.Preliminary results of consolidation chemotherapy following concurrent chemoradiation after radical surgery in high-risk early-stage carcinoma of the uterine cervix[J].Clin Oncol (R Coll Radiol),2005,17(6):412-417.
  • 9Green JA,Kirwan JM,Tierney JF,et al.Survival and recurrence after concommitant chemotherapy and radiotherapy for cancer of the uterine cervix:a systematic review and Meta-analysis[J].Lancet,2001,358(9284):781-786.
  • 10Liu MT,Hsu JC,Liu WS,et al.Prognostic factors affecting the outcome of early cervical cancer treated with radical hysterectomy and post-operative adjuvant therapy[J].Eur J Cancer Care (Engl),2008,17(2):174-181.

二级参考文献24

  • 1Rutledge FN, Mitchell MF, Munsell M, et al. Youth as a prognostic factor in carcinoma of the cervix: a matched analysis[J]. Gynecol Oncol,1992,44:123-130.
  • 2Carolyn M, Matthews, Thomas W, et al. Stage I cervical adenocarcinoma:prognostic evaluation of surgically treated patients[J]. Gynecologic Oncology, 1993,49:19-23.
  • 3Fuller AF, Elliott N, Kosloff C, et al. Determinants of increased risk for recurrence in patient undergoing radical hysterec-tomy for stage IB and IIA carcinoma of the cervix[J]. Gynecol Oncol,1989,33:34-39.
  • 4Shingleton HM, Bell MC, Fremgen A, et al. Is there really a difference in survival of women with squamous cell carcinoma, adenocarcinoma, and adenosquamous cell carcinoma of the cervix[J]? Cancer,1995,76:1948-1955.
  • 5Serur E, Fruchter RG, Maiman M, et al. Age, substance abuse, and survival of patients with cervical carcinoma[J]. Cancer,1995,75:2530-2538.
  • 6Chapman GW. Survival of advanced age females with cervical carcinoma[J]. Gynecol Oncol,1992,46:287-291.
  • 7Gunnar B, Kristensen, Vera M, et al. Tumor size, depth of invasion and grading of the invasive tumor front are the main prognostic factors in early saumous cell cervucal carcinoma[J]. Gynecologic Oncology,1999,74:245-251.
  • 8Rutledge FN, Mitchell MF, Munsell M, et al. Youth as a prognostic factor in carcinoma of the cervix: A matched analysis[J]. Gynecol Oncol,1992,44:123-130.
  • 9LandoniF,ManeoA,ColomboA ,etal.RandomisedstudyofradicalsurgeryversusradiotherapyforstageⅠbⅡacervicalcancer[].The Lancet.1997
  • 10DelgadoG,BundyBN,FowlerWCJr,etal.AprospectivesurgicalpathologicalstudyofstageⅠsquamouscarcinomaofthecervix:aGynecologicOncologyGroupStudy[].Gynecologic Oncology.1989

共引文献75

同被引文献26

  • 1周瑞丽,刘国炳.宫颈癌发病年龄与预后的关系(附93例分析)[J].第一军医大学学报,2004,24(9):1066-1067. 被引量:14
  • 2朱珠,陈志明.宫颈癌Ⅰ,Ⅱ期的淋巴结转移及治疗与预后的关系——附45例临床病例分析[J].中国现代医学杂志,2004,14(23):137-138. 被引量:9
  • 3冯淑瑜,张彦娜,刘建刚.宫颈癌淋巴结转移的高危因素及预后分析[J].癌症,2005,24(10):1261-1266. 被引量:71
  • 4Van DP, Lie AK, Vach W, et al. Risk grouping in stage Ⅰ b squamous cell cervical carcinoma [J]. Gynecol Oncol 2005, 99(1):106-112.
  • 5Memarzadeh S, Natarajan S, Dandade DP, et al. Lymphovascular and perineural invasion in the parametria: a prognostic factor for early-stage cervical cancer[J]. Obstet Gynecol, 2003, 102(3): 612-619.
  • 6Ho CM, Chien TY, Huang SH, et al. Multivariate analysis of the prognostic factors and outcomes in early cervical cancer patients undergoing radical hysterectomy [J]. Gynecol Oncol, 2004, 93 (2):458-464.
  • 7Peters Ⅲ WA, Liu R, Barrett Ⅱ R J, et al. Concurrent chemotherapy and pelvic radiation therapy compared with pelvic radiation therapy alone as adjuvant therapy after radical surgery in high-risk early-stage cancer of the cervix [J]. J Clin Oncol, 2000,18(8):1606-1613.
  • 8Green JA, Kirwan JM, Tierney JF, et al. Survival and recurrent after concomitant chemotherapy and radiotherapy for cancer of the uterine cervix: a systematic review and Meta-analysis [J]. Lancet, 2001, 358(9284):781-786.
  • 9Holtz DO, Dunton C. Traditional management of invasive cervical cancer [J]. Obstet Gynecol Clin North AM, 2002, 29(4):645-657.
  • 10Benedetti-Panici P,Maneschi F,D′Andrea G,et al.Early cervical carcinoma:the natural history of lymph node involvement redefined on the basis of thorough parametrectomy and giant section study[J].Cancer,2000,88(10):2267-2274.

引证文献3

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部