宫颈癌与多发癌(附39例报告)

Cervical Cancer Associated with Multiple Primary Malignancies

1965年至1984年我院住院治疗宫颈癌3850例,宫颈癌与多发癌39例,占1.02％。同时性者10例,异时性者29例,其中发生于宫颈癌治疗后和治疗前各为16例和13例。宫颈癌与多发癌累及部位主要是女性生殖道,乳腺与直肠。对产生宫颈多发癌的可能因素,如放射线,激素,胚胎来源作了扼要讨论。多发癌的预后取决于第二癌所累及的器官,病理类型,期别和治疗。

Among 3850 cases of cervical cancer treated at Zhejiang Cancer Hospital during 1956 to 1984, 39 were found to have developed multiple primary malignancies of which 16 subsequent to treatment of cervical cancer, 13 prior to treatment, and 10 simultaneously. The common sites for secdndary primaries were female genital tract, breast and rectum. Carcinogenic factors of multiple primary cancers, such as radiation, hormone and embryonal origin are discussed briefly. The prognosis of secondary multiple primary carcinomas depends on organs involved, pathologic types, stages and the modality of treatment.