复发宫颈癌的治疗  

TREATMENT OF RECURRENT CARCINOMA OF THE UTERINE CERVIX

作　　者：谭道彩[1] 王骅[1] 彭小萍[1] 

机构地区：[1]广州中山医科大学肿瘤医院

出　　处：《中华肿瘤杂志》1995年第1期47-49,共3页Chinese Journal of Oncology

摘　　要：９６４～１９８５年收治复发性宫颈癌１３７例，其中根治术后复发７３例，首选经典放疗法６４例。本组患者再治前经病理诊断者７３例，治疗期获病理确认者４７例，影像诊断８例，另９例是依据肿块、疼痛加重、或加下肢肿大等诊为复发。复发癌灶位中央（子宫或阴道）的６６例，在盆壁出现者２８例，中央及盆壁均有癌者２４例，肺、锁上区或骨骼癌转移１９例。再治疗方法根据个别病例经认真研究后制定。以放疗或加中药治疗者９２例；插管化疗（大多经动脉插管化疗）２６例；手术处理者１３例均为放疗后复发者；化疗加放疗６例。１３７例再治疗后，随诊５～２８年，随诊率为９６．４％。生存５年或以上者５６例均有病理诊断。全组的５年生存率为４０．９％，１３例复发癌经手术治疗５年生存达５３．８％，无癌生存最长１例有２８年余。AbstractOne hundred thirty seven patients with recurrent carcinoma of the uterine cervix were treatdfrom 1964 through 1985.The primary treatment was surgery in 64 cases and radiation in 73 cases.Treatment consisted of surgery(n=13 ) radiotherapy with or without Chinese medicine(n=92),chemotherapy(n=26),and chemotherapy plus radiation (n=6).The mean 5-year survival rateof this series was 40.9%. One patient survived 28 year without tumor. Seven of 13 surgically treated patients were alive and free of disease for 5 to 28 years with an av-erage 5-year survival rate of 53.8%. Thirty recurrent cases following radiotherapy were again treatedby radiation,11 of them(36.7%)were alive for 5 years.

关 键 词：宫颈癌 子宫肿瘤 复发 治疗 

分 类 号：R737.330.5[医药卫生—肿瘤]