CAJ | 학술논문

目的探讨子宫内膜浆液性乳头状腺癌的预后相关因素.方法回顾性分析本院附属肿瘤医院妇瘤科收治28例子宫内膜浆液性乳头状腺癌的临床资料,观察影响患者预后的相关因素.结果 28例子宫内膜浆液性乳头状腺癌占同期收治子宫内膜癌的6.3％,Ⅰ～Ⅱ期患者14例,Ⅲ期14例,单因素分析发现淋巴结转移、手术病理分期与预后有关(P＜0.05),患者是否绝经、术后是否治疗、子宫切除范围、子宫肌层浸润深度、宫颈受侵、附件受侵与预后无关(P＞0.05).2例Ⅰa期无肌层浸润者术后未补充任何治疗存活至今.结论子宫内膜浆液性乳头状腺癌发病率低,临床-病理分期和淋巴结转移可能是影响子宫内膜浆液性乳头状腺癌预后的重要因素.Ⅰa期无肌层浸润者术后可选择观察.
목적 탐토자궁내막장액성유두상선암적예후상관인소.방법 회고성분석본원부속종류의원부류과수치28례자궁내막장액성유두상선암적림상자료,관찰영향환자예후적상관인소.결과 28례자궁내막장액성유두상선암점동기수치자궁내막암적6.3％,Ⅰ～Ⅱ기환자14례,Ⅲ기14례,단인소분석발현림파결전이、수술병리분기여예후유관(P＜0.05),환자시부절경、술후시부치료、자궁절제범위、자궁기층침윤심도、궁경수침、부건수침여예후무관(P＞0.05).2례Ⅰa기무기층침윤자술후미보충임하치료존활지금.결론 자궁내막장액성유두상선암발병솔저,림상-병리분기화림파결전이가능시영향자궁내막장액성유두상선암예후적중요인소.Ⅰa기무기층침윤자술후가선택관찰.
Objective To explore prognostic factors of the uterine papillary serous carcinoma (UPSC).Methods Twenty eight patients with UPSC in Cancer Hospital of Shantou University Medical College from January 2002 to August 2013 were analyzed retrospectively.Prognostic factors were analyzed by univariate analysis.Results Twenty eight cases of UPSC with 6.3％ occurrence in the endometrial carcinoma admitted in the same period,including 14 cases of staging Ⅰ ～ Ⅱ,and 14 cases of staging Ⅲ.The univariate analysis showed that lymph-node metastasis and operative-pathological staging were significantly associated with the prognosis (P ＜ 0.05),but were not associated with the menopausal,postoperative treatment,operation style,deep myometrial invasion,cervical involvement,and annex invasion (P ＞ 0.05).Two cases of Ia-staging without myometrial infiltration and without added postoperative treatment were still alive.Conclusions Operative-pathological staging and retroperitoneal lymphadenectomy were independently prognostic factors of UPSC.The Ia-staging without myometrial infiltration might be without added postoperative treatment.