子宫内膜癌67例临床病理分析

Clinocopathological Analysis of Endometrioid Carcinoma (EC)

目的 :分析子宫内膜癌 (EC)的临床病理特点 ,为该肿瘤的诊断与治疗提供依据。方法 :对 67例子宫内膜癌进行临床分期及病理分级。结果 :67例子宫内膜癌中阴道不规则流血 7d至半年 16例 ,占 2 3 88% ;流血 3年至 9年 2例 ,占 2 98% ;月经经量增多 3年至 10年 3例 ,占 4 48% ;绝经 3月至 5年 2 2例 ,占 3 2 84% ,绝经 6年至 15年 18例 ,占2 6 87% ;绝经 16年至 2 0年 3例 ,占 4 48% ;绝经超过 2 0年 2例 ,占 2 98%。仅 1例无阴道流血 ,只有腰腹疼痛症状 ,占 1 49% ,所以不规则阴道流血是一个很重要的临床表现。结论 :掌握子宫内膜癌的形态特征并结合临床分期 。

Objective:To analyze the clinicopathological feature of E C and provide evidence for its diagnosis and treatment.Methods:67 c a ses of EC were clinically staged and pathocogically graded.Results:A mong 67 cases of EC 16 cases (23 88%) showed irregular uterine bleeding for 7 d a ys to half a year,16 cases(23 88%); presented uterine bleeding for 3 to 9 years ,2cases(2.98%);me nometrorrhagia for 3 to 10 years was found in 3 cases (4 48%).Menopause for 3 m o n ths to 5 years was found in 22 cases (32 84%),6 to 15 years in 18 cases (26 87 %),16 to 20 years in 3 cases(4 48%),and more than 20 years in 2 cases (2 98%). On ly one case had no history of uterine bleeding.But showed lumbar and abdominal pa in.There fore,irregular uterine bleeding was an important clinical feature.Conclusion:It plays a significant role to understand the histopatholgical characteristic of EC and combine with its clinical stage of diagnosis and diffe rential diagnosis.