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子宫内膜癌初始病灶大小与淋巴结转移及复发的关系

The Relationship Between Initial Lesion Size and Lymph Node Metastasis and Recurrence in Endometrial Carcinoma
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摘要 目的分析子宫内膜癌(EC)初始病灶大小与淋巴结转移及复发的关系。方法选取EC患者138例,收集患者年龄、病灶大小、体质量指数(BMI)、高血压疾病、疾病分化程度、淋巴结转移等信息,统计不同临床病理特征EC患者初始病灶大小,分析初始病灶大小与淋巴结转移及复发的关系。结果年龄、绝经状态、分娩史、分化程度、病理分期、附件转移、肌层浸润深度、淋巴结转移是EC患者初始病灶大小的影响因素(P<0.05)。临界值为3、4、5 cm时,EC患者淋巴结转移率比较差异有统计学意义,初始病灶>5 cm患者淋巴结转移率(26.47%)较初始病灶为4~5 cm患者(19.23%)、3~4 cm患者(6.06%)、2~3 cm患者(3.70%)、<2 cm患者(0.00%)高,且EC患者初始病灶越大淋巴结转移率越高(P<0.05);临界值为3、4、5 cm时,EC患者复发率比较差异有统计学意义,初始病灶>5 cm患者复发率(26.47%)较初始病灶为4~5 cm患者(15.38%)、3~4 cm患者(6.06%)、2~3 cm患者(3.70%)、<2 cm患者(0.00%)高,且EC患者初始病灶越大复发率越高(P<0.05)。结论EC初始病灶大小与患者年龄、分娩史、病理分期、肌层浸润深度等存在明显关联性,且初始病灶越大,淋巴结转移及复发率越高,临床可根据初始病灶大小合理制定手术及治疗方案,改善预后。 Objective To analyze the relationship between initial lesion size and lymph node metastasis and recurrence of endometrial carcinoma(EC).Methods 138 EC patients were selected.The information of age,lesion size,body mass index(BMI),hypertension,disease differentiation,lymph node metastasis,etc.were collected.The initial lesion size of EC patients with different clinicopathological characteristics was statistically analyzed,and the relationship between the initial lesion size and lymph node metastasis and recurrence was analyzed.Results Age,menopausal state,delivery history,differentiation degree,pathological stage,accessory metastasis,depth of muscle invasion,lymph node metastasis were the influencing factors of initial lesion size in EC patients(P<0.05).When the critical value was 3,4,and 5 cm,the lymph node metastasis rate of EC patients was statistically significant.The lymph node metastasis rate of patients with initial lesions>5 cm(26.47%)was higher than that of patients with initial lesions of 4~5 cm(19.23%),3~4 cm(6.06%),2~3 cm(3.70%),and<2 cm(0.00%).The larger the initial lesions were,the higher the lymph node metastasis rate of EC patients was(P<0.05);When the critical value was 3,4,and 5 cm,the recurrence rate of EC patients was statistically significant.The recurrence rate of patients with initial lesions>5 cm(26.47%)was higher than that of patients with initial lesions of 4~5 cm(15.38%),3~4 cm(6.06%),2~3 cm(3.70%),and<2 cm(0.00%).The larger the initial lesions were,the higher the recurrence rate of EC patients was(P<0.05).Conclusion The size of the initial focus of EC is significantly related to the patient's age,delivery history,pathological stage,and the depth of muscle invasion.The larger the initial focus,the higher the rate of lymph node metastasis and recurrence.The clinical can reasonably formulate the operation and treatment plan according to the size of the initial focus to improve the prognosis.
作者 吴乐策 乔丽娟 袁超群 WU Lece;QIAO Lijuan;YUAN Chaoqun(Henan Third People's Hospital,Zhengzhou,450000)
出处 《实用癌症杂志》 2023年第7期1148-1151,共4页 The Practical Journal of Cancer
关键词 子宫内膜癌 初始病灶大小 淋巴结转移 复发 Endometrial carcinoma Initial lesion size Lymph node metastasis Recurrence
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