原发性阴道癌33例临床分析

Clinical Analysis of 33 Cases with Primary Invasive Cacinoma of the Vagina

目的本文对我院１９７９年至１９９０年收治的３３例原发性阴道癌进行了临床分析。方法本组发病高峰年龄为４５～６５岁。病变部位以阴道上１／３居多。病理类型中鳞癌占６０．６％。治疗方式包括单纯手术、放疗、化疗以及其中二种方式的综合治疗。结果５年生存率Ⅰ、Ⅱ、Ⅲ、Ⅳ期分别为７７．８％、４７．１％、２５．０％、０％。结论临床分期、病变部位及治疗方法的选择均影响预后。

Thirty three cases of primary carcinoma of vagina treated in our hospital from Jan.1979 to Dec.1990 were analysed clinically.Most of the patients were aged from forty five to sixtyfive.The lesions in upper onethird vagina were more than others.Pathologically,squamous cell carcinoma was the most common histologic type,which was found in 606% of the patients.The modalities of treatment included surgery alone,radiotherapy and chemotherapy or combined regimens of two modalities.Fiveyear survival rate of the patients in stage Ⅰ was 778%;471% in stage Ⅱ;250% in stage Ⅲ;0 in stage Ⅳ.The results showed that the prognosis was mainly related to clinical staging and therapy.