35岁以下年轻宫颈癌62例临床分析

Clinical analysis of 62 cases of young cervical cancer women under 35 years old

目的探讨35岁以下年轻宫颈癌患者临床及病理特点。方法回顾性分析2006年1月至2014年12月我院收治的62例年轻宫颈癌患者的临床资料,与同期的中老年宫颈癌患者(>35岁)进行比较,总结其临床特点及病理特征。结果 2006至2014年年轻宫颈癌构成比例由7.6%上升至16.9%。与中老年宫颈癌比较,年轻宫颈癌组接触性出血症状多见(56.5%vs 36.3%,P<0.05),临床早期多见(62.9%vs 43.8%,P<0.05),腺癌多见(38.7%vs 20.0%,P<0.05),盆腔淋巴结转移少见(11.3%vs 43.8%,P<0.05)。结论年轻宫颈癌构成比例逐渐升高,与中老年宫颈癌相比,临床症状以接触性出血多见,临床分期较早,腺癌多见。两组Ⅱa期以下5年生存率差异无统计学意义。

Objective To explore the clinical and pathological features of young cervical cancer patients（≤35years）.Methods Retrospectively analyzed 62 young cervical cancer patients from January 2006 to December 2014.Compared with middle-aged patients whose ages were above 35 years old in the same period.Results The proportion of young cervical cancer patients form 7.6% up to 16.9%.Compare to middle-aged patients,there were more contact bleeding symptom（56.5% vs36.3%,P〈0.05）,more early stage（62.9%vs 43.8%,P〈0.05）,more adenocarcinomas（38.7% vs 20.0%,P〈0.05）,seldom lymph node metastased（11.3%vs 43.8%,P〈0.05）.Conclusion The prevalence of cervical cancer trends to be younger.Young cervical cancer patients clinical feature is contact bleeding mainly,clinical staging are mainly in early stage.There are more adenocarcinomas in young cervical cancer patients than in middle-aged patients.