CAJ | 학술논문

探讨早期子宫内膜癌的临床病理特点、治疗方法及预后。方法回顾分析洛阳北方企业集团有限公司职工医院2003年1月～2013年9月收治的Ⅰ期子宫内膜癌的24例临床资料，术前经诊刮确诊子宫内膜癌或重度不典型增生，术前影像学检查未发现盆腔肿大淋巴结及子宫以外的其他部位的淋巴结转移。结果23例患者行全子宫及双侧附件切除术，其中4例行盆腔淋巴结清扫术，1例未做手术行孕激素治疗，24例患者经随访0～10年,未见术后复发及转移。结论单纯全子宫+双附件切除术是治疗早期子宫内膜腺癌(ⅠA期和ⅠB期)的最佳治疗方案。对于有生育要求的年轻女性,也可以考虑保守治疗,应用大剂量的孕激素治疗,但应加强临床与病理沟通,密切随访。
탐토조기자궁내막암적림상병리특점、치료방법급예후。방법회고분석락양북방기업집단유한공사직공의원2003년1월～2013년9월수치적Ⅰ기자궁내막암적24례림상자료，술전경진괄학진자궁내막암혹중도불전형증생，술전영상학검사미발현분강종대림파결급자궁이외적기타부위적림파결전이。결과23례환자행전자궁급쌍측부건절제술，기중4례행분강림파결청소술，1례미주수술행잉격소치료，24례환자경수방0～10년,미견술후복발급전이。결론단순전자궁+쌍부건절제술시치료조기자궁내막선암(ⅠA기화ⅠB기)적최가치료방안。대우유생육요구적년경녀성,야가이고필보수치료,응용대제량적잉격소치료,단응가강림상여병리구통,밀절수방。
Objective To investigate the clinicopathologic features of early stage Endometrial cancer , the method of treatment for this disease and its prognosis.Methods The clinical date of 24 cases of stage of stageⅠendometrial carcinoma treated in Hospital Of Luo Yang Northen Enterprise Goup, between January 2003and September 2013 were retrospectively analyzed, All of patientds were pathologicaly diagnosed for endometral cancer or severe dysplasia by properative curettage.medical imagelogy didn't detect metastasis in the abdominal or pelric lymph nodes or masses outside the uterus.Results 23 patients received regular hysterectomy, bilateral salpingo-oophorectomy. 4 cases among these patients received pelvic lymph node dissetion. One patient received progestins treatment without surgery. 24 cases were followed up between zero to ten years. There are no recurrences and metastasis.Conclusion For patients with early stage (ⅠA-ⅠB) endometrial adenocarcinoma,regular hysterectomy and bilateral salpingo-oophorectomy is an optimal tyeatment, as for yong women with fertility deman. It is good conservative therapy for high dose progesterone, hower, it strenthen clinical and pathology cooperation and follow up for these patients.