子宫内膜癌的病理类型与预后(附81例临床分析)

Relationship between prognosis and histopathologic subtypes of endometrial carcinoma:A Study of 81 cases.

本文分析了首选采用手术治疗的子宫内膜癌Ⅰ期患者81例。其中内膜样腺癌54例(66.7%)、乳头状腺癌10例(12.3%)、腺鳞癌14例(17.3%)、浆液性乳头状腺癌3例(3.7%)。结果:非内膜样癌5年总存活率(59%)明显低于内膜样癌(92.6%P<0.01);腺鳞癌、浆液性乳头状腺癌的复发、未控及手术前肿瘤扩散发生率均明显高于内膜样腺癌。这些结果表明子宫内膜癌的病理类型与预后关系密切,此结果对指导临床治疗有重要意义。

Eighty-one patients suffering from clinical stage Ⅰ endometrial carcionoma treated with initial hysterectomy were ana- lyzed retrospectively.Of these,54(66.70%) were endometrioid adenocarcinoma;10 (12.3%)were papillary endometrioid adeno- carcinoma;14(17.3%)were adenosquamous carcinoma;3(3.7%)were serous papillary adenocarcinoma.The total 5-year survival of nonendometrioid adenocarcinoma was 59%, significantly lower than that of endometrioid adenocarcinoma(92.6%)(P<0.01).The in- cidences of recurrence,persistence and preop- erative metastasis in adenosquamous carcino- ma and serous papillary adenocarcinoma were significantly higher than those of endometri- old carcinoma.The results indicated that prognosis of endometrial carcinoma was closely related to the histopathologic sub- type.