摘要
目的 :探讨子宫乳头状浆液性癌 (UPSC)的生物学行为特征与预后关系。方法 :回顾分析 1988年 7月~ 2 0 0 0年 8月临沂市肿瘤医院收治的 10例UPSC的临床病理资料。结果 :术前分期 :I期 9例 ,占 90 % ,Ⅲ期 1例 ,占 10 %。细胞分化 :G14例 ,G2 4例 ,G3 2例。手术 -病理分期 :Ⅰ期 2例 ,占 2 0 % ,Ⅲ期 6例 ,占 6 0 % ,Ⅳ期 2例 ,占 2 0 %。细胞分化 :G3 6例 ,占 6 0 % ;肌层浸润 :浸润超过 1/ 2肌层 7例 ,占 70 %。 2例 (2 0 % )术后 1年内死亡 ,5例 (5 0 % ) 3年内死亡 ,6例 (6 0 % ) 5年内死亡。结论 :UPSC细胞分化差 ,早期易发生深肌层浸润及盆腹腔淋巴结和远处转移 ,预后极差。
Objective To investigate the relationship between the biological behavior characteristics and prognosis of uterine papillary serous carcinoma(UPSC).Methods Clino-pathological data of 10 cases of uterine papillary serous carcinoma from July,1988 to August,2000,in Linyi Tumor Hospital were analyzed retrospectively.Results Preoperative stage:stage I in 9 cases(90%),stage Ⅲ in 1(10%).Cellular differentiation:G 1 in 4,G 2 in 4,G 3 in 2.Postoperative pathological stage:stage I in 2(20%),stage Ⅲ in 6(60%),stage Ⅳ in 2(20%).differentiation:G 3 in 6(60%).Muscular infiltration:7 case infiltrate to 1/2 depth of muscle(70%).2 cases died within 1 year after operation(20%),5 cases died within 3 years(50%),and 6 cases died within 5 years(60%).Conclusions UPSC haring poor cellular differentiation occured earlier infiltration of depth muscle and metastasis of local lymph node.UPSC should be treated with comprehensive therapy operation is essential.
出处
《肿瘤防治杂志》
2002年第5期516-517,共2页
China Journal of Cancer Prevention and Treatment
关键词
子宫乳头状浆液性癌
病理分析
子宫内膜肿瘤
预后
综合疗法
carcinoma,papillary/pathology
uterine endometrial tumor/pathology
prognosis
comprehensive therapy