CAJ | 학술논문

目的研究子宫内膜癌的病理类型及临床特点.方法对鲁北地区306例子宫内膜癌患者的临床病理资料进行回顾性分析.结果子宫内膜癌主要包括两种病理类型:子宫内膜样腺癌和非子宫内膜样腺癌,子宫内膜样腺癌占内膜癌总数的90％,非子宫内膜样腺癌占总数的10％.非子宫内膜样腺癌与子宫内膜样腺癌相比,发病年龄较大[(59.32±7.77)岁],在绝经后患者的构成比较高(90％),病理分期较晚(P=0.000),组织学分级高(P=0.000),易发生深肌层浸润(P =0.014),易发生淋巴转移(P=0.006),术后复发率高(P =0.000).结论非子宫内膜样腺癌与子宫内膜样腺癌在临床病理方面存在显著差异,恶性程度高,预后差,需要重视.
목적 연구자궁내막암적병리류형급림상특점.방법 대로북지구306례자궁내막암환자적림상병리자료진행회고성분석.결과 자궁내막암주요포괄량충병리류형:자궁내막양선암화비자궁내막양선암,자궁내막양선암점내막암총수적90％,비자궁내막양선암점총수적10％.비자궁내막양선암여자궁내막양선암상비,발병년령교대[(59.32±7.77)세],재절경후환자적구성비교고(90％),병리분기교만(P=0.000),조직학분급고(P=0.000),역발생심기층침윤(P =0.014),역발생림파전이(P=0.006),술후복발솔고(P =0.000).결론 비자궁내막양선암여자궁내막양선암재림상병리방면존재현저차이,악성정도고,예후차,수요중시.
Objective To explore the clinicopathology characteristics of endometrial adenocarcinoma and non-endometrial adenocarcinoma.Methods The clinical data of 306 patients with endometrioid cancer were analyzed retrospectively.Results The patients with endometrial adenocarcinoma accounted for 90％ of all patients,and the patients with non-endometrial adenocarcinoma accounted for 10％.Compared with the patients with endometrial adenocarcinoma,the average age of the patients with non-endometrial adenocarcinoma was older[(59.32 ± 7.77)years],the constitution ratio of postmenopausal patients was higher(90％),the clinicopathologic stage was later(P =0.000),the grade of histology was higher(P =0.000),the myometrial invasion was deeper(P =0.014).The patients with nonendometrial adenocarcinoma were prone to occur lymph metastasis(P =0.006),and the recurrence rate was higher(P =0.000).Conclusion There is significant defference between endometrial adenocarcinoma and non-endometrial adenocarcinoma,the patients with non-endometrial adenocarcinoma has poor pronosis,and we should pay more attention to it.