目的:探讨不同年龄段低级别子宫内膜间质肉瘤(LG-ESS)在临床表现、肿瘤情况、临床分期、预后等方面的差异。方法:回顾性分析2010年9月至2015年3月四川大学华西第二医院妇科收治的61例LG-ESS患者的临床病理资料和随访资料。对比不同年龄...目的:探讨不同年龄段低级别子宫内膜间质肉瘤(LG-ESS)在临床表现、肿瘤情况、临床分期、预后等方面的差异。方法:回顾性分析2010年9月至2015年3月四川大学华西第二医院妇科收治的61例LG-ESS患者的临床病理资料和随访资料。对比不同年龄组[≤40岁(29例)和>40岁(32例)],以及年轻患者(≤40岁)中有症状组(15例)和无症状组(14例)间在临床表现及预后等方面的差异。结果:①61例患者平均年龄39.61±9.47岁(17～60岁),其中国际妇产科联盟(FIGO)Ⅰ期47例(77.05%),无明显临床症状患者19例(31.15%)。②≤40岁组与>40岁组比较,单发肿瘤比例(89.65%vs 59.37%)、单发肿瘤最大直径(6.84±2.20 cm vs 6.34±3.83 cm)、无临床症状的比例(48.28%vs 15.63%)差异均有统计学意义(P<0.05)。③不同年龄组FIGO分期比较,差异无统计学意义(P>0.05)。术后中位随访时间为42.8个月(18～60个月),共3例FIGOⅡ期以上患者死亡。不同年龄组患者预后差异无统计学意义(P>0.05)。④≤40岁组患者中,有无症状组间的临床表现和预后相关指标间比较,差异均无统计学意义(P>0.05)。结论:LG-ESS发病年龄相对年轻,肿瘤常单发,直径较大,无特异性临床表现,发病时以早期病例多见,预后较好。临床上对40岁以下年轻无症状的子宫占位的患者应警惕LG-ESS的发生。展开更多
The New Academic Center achieved a LEED Platinum rating,the first for Cornell’s core campus.While the obligation to meet the University’s green building criteria was a given,the design was largely influenced by hist...The New Academic Center achieved a LEED Platinum rating,the first for Cornell’s core campus.While the obligation to meet the University’s green building criteria was a given,the design was largely influenced by historic preservation and an interest in maintaining views of an historic quadrangle and valuable campus green space.These drivers led to a comprehensive design process in alignment with the University’s long term goals for overall campus redevelopment.The first phase initiative,a below-grade classroom addition,provides new space for Law School programs in an exceptionally energy efficient building with concurrent environmental benefits,including preservation of open space and enhanced storm-water management.In addition,as a thoughtful addition to a landmark building,the project emphasized the use of both existing and local building materials.展开更多
文摘目的:探讨不同年龄段低级别子宫内膜间质肉瘤(LG-ESS)在临床表现、肿瘤情况、临床分期、预后等方面的差异。方法:回顾性分析2010年9月至2015年3月四川大学华西第二医院妇科收治的61例LG-ESS患者的临床病理资料和随访资料。对比不同年龄组[≤40岁(29例)和>40岁(32例)],以及年轻患者(≤40岁)中有症状组(15例)和无症状组(14例)间在临床表现及预后等方面的差异。结果:①61例患者平均年龄39.61±9.47岁(17～60岁),其中国际妇产科联盟(FIGO)Ⅰ期47例(77.05%),无明显临床症状患者19例(31.15%)。②≤40岁组与>40岁组比较,单发肿瘤比例(89.65%vs 59.37%)、单发肿瘤最大直径(6.84±2.20 cm vs 6.34±3.83 cm)、无临床症状的比例(48.28%vs 15.63%)差异均有统计学意义(P<0.05)。③不同年龄组FIGO分期比较,差异无统计学意义(P>0.05)。术后中位随访时间为42.8个月(18～60个月),共3例FIGOⅡ期以上患者死亡。不同年龄组患者预后差异无统计学意义(P>0.05)。④≤40岁组患者中,有无症状组间的临床表现和预后相关指标间比较,差异均无统计学意义(P>0.05)。结论:LG-ESS发病年龄相对年轻,肿瘤常单发,直径较大,无特异性临床表现,发病时以早期病例多见,预后较好。临床上对40岁以下年轻无症状的子宫占位的患者应警惕LG-ESS的发生。
文摘The New Academic Center achieved a LEED Platinum rating,the first for Cornell’s core campus.While the obligation to meet the University’s green building criteria was a given,the design was largely influenced by historic preservation and an interest in maintaining views of an historic quadrangle and valuable campus green space.These drivers led to a comprehensive design process in alignment with the University’s long term goals for overall campus redevelopment.The first phase initiative,a below-grade classroom addition,provides new space for Law School programs in an exceptionally energy efficient building with concurrent environmental benefits,including preservation of open space and enhanced storm-water management.In addition,as a thoughtful addition to a landmark building,the project emphasized the use of both existing and local building materials.
