绝经与未绝经妇女子宫内膜癌临床病理特征分析

Comparison of clinical characters between premenopausal and postmenopausal endometrial carcinoma

目的比较分析绝经与未绝经妇女子宫内膜癌的临床与病理特点。方法回顾性分析我院经手术病理确诊的子宫内膜癌的临床资料,其中绝经期组21例,未绝经组21例,对其进行比较分析。结果绝经组平均发病年龄(60.40±10.07)岁,未绝经组平均发病年龄(48.40±5.40)岁。绝经后的子宫内膜癌合并高血压者多于绝经前,差异有显著性(P=0.044)。在病理类型、病理分化程度、病理分期、肌层浸润深度、宫颈浸润情况、合并糖尿病、临床症状等方面比较,二组差异无显著性;结论绝经后妇女的子宫内膜癌合并高血压者多见,子宫内膜癌在病理分化、病理分期、病理类型上等方面与绝经与否无关。

Objective To compare the clinical characters of endometrial carcinoma between premenopausal and postmenopausal patients. Methods The clinical characters of 21 postmenopausal and 21 premenopausal women with endometrial carcinoma were analyzed retrospectively. Results The average age of postmenopausal group was （60.40±10.07）; and （48.40± 5.40） in premenopausal group. No significant difference was found in histological, type, grade, FIGO stage and the depth of myometrial invasion between the two groups, except more postmenopausal patients complicated with hypertension than premenopausal group. Conclusion The histological type, grade, FIGO stage and the depth of myometrial invasion of endometrial carcinoma are not associated with menopause.