宫颈残端癌32例临床分析

A Clinical Analysis of 32 Cases Cervical Stump Carcinoma

本文分析32例宫颈残端癌均为鳞癌。占同期我院收治宫颈癌的0．44％。发病年龄42～66岁。潜伏期平均13．6年。按FIGO分期。手术治疗8例。放射治疗22例。5年生存率80．9％。作者认为宫颈残端癌因盆腔解剖改变，治疗应个体化。控制子宫次全切除术并非预防关键。选用次全子宫切除术者术前仔细检查，除外隐性癌。术后需定期检查。

Thirty-two cases cervical stump squmous cell carcinoma is reported.It was 0. 44% of inpatient cervical carcinoma in the same period. The mean age period was 13. 6 years. According to FIGO staging. Surgical treatment was adopted in the series was ranged 42 to 66. The mean lalent period was 13. 6 years. According to FIGO staging. Surgical trearment was adopted in 8 cases. Radiotherapy was adopted in 22 cases. The over-all 5-year surivival rate of the whole series were 80.9%. Author considers that the treatment for cervical stump carcinoma should be individuallied because of the anatomic changes. Though the incidence of cervical stump carcinoma was related to the numbers of subtotal hysterectomy doesn't the key of prevention for cervical stump carcinoma.To those patients who received subtotal hysterectomy,It is very important to make cervical cytological cheek up periodically, and to rule out occult carcinoma.