ⅠⅡ期宫颈癌根治术后淋巴结转移与预后初探

A Preliminary Study of Lymphatic Metastasis and Prognosis in Patients with Cervical Carcinoma of Stage Ⅰand Ⅱ after Radical Operation

１９７８年～１９８７年，我院手术治疗Ⅰ、Ⅱ期宫颈癌１９４例，其中Ⅰ期１５３例，Ⅱ期４１例。术后病理证实２６例有盆腔淋巴结转移，Ⅰ期转移率为１０．５％，Ⅱ期转移率为２４．４％。２６例患者中，２０例术前经半量腔内放疗，２６例均于术后均予以６０Ｃｏ外照射，ＤＴ４５Ｇｙ～５０Ｇｙ。本组病人均随访５年以上，随访率９９．０％。５年生存率无转移组９５．２％，转移组５７．７％。作者讨论了有关淋巴结转移的潜在因素，认为临床分期为Ⅱ期，年龄在３９岁以下，结节型肿瘤，组织学类型为腺癌，病理分级为Ⅲ级者转移率高。

From 1978 to 1987, 194 patients with stage Ⅰ and Ⅱcervical carcinoma accepted radicalsurgical care in our hospital. Of them there were 153 cases of stageⅠand 41 cases of stage Ⅱ.After oper-ation 26 cases were diagnosed as pelvic lymphatic metastasis pathologically.Metastatic rate was 10.5%and 24.4% in stageⅠand Ⅱ patients,respectively.20 of 26 Patients had semidosage intracavity radiationbefore operation.All of the 26 patients got60Co external radiation, DT 45Gy～50Gy after operation.Allthe patients in this group were followed up more than 5 years. Follow up rate accounts for 99%:5 yearsurvival rate,9.2% in non metastasis group and 57.7%in metastasis group.Potential factors relatedto lvmphatic metastasis are disctissed, The authors think that patients under age of 39, in clinical stage Ⅱand pathological grade Ⅲ with nodular adenocarcinoma have a high metastatic rate.