子宫平滑肌肉瘤111例的长期随访  

A LONG-TERM FOLLOW-UP FOR 111 CASES WITH UTERINE LEIOMYOSARCOMA

作　　者：朱慧庭[1] 周先荣[1] 杜心谷[1] 

机构地区：[1]上海医科大学妇产科医院病理科

出　　处：《上海医科大学学报》1998年第3期209-211,共3页Journal of Fudan University(Medical Science)

摘　　要：目的探讨影响子宫平滑肌肉瘤预后的各种临床病理因素。方法应用ＳＡＳ软件，作ＣＯＸ模型的危险度分析，共回顾分析了１１１例子宫平滑肌肉瘤的临床、病理资料及随访结果。结果患者年龄越大、临床－手术分期越晚，预后越差；病理诊断为子宫平滑肌肉瘤的比低度恶性平滑肌肉瘤和平滑肌肉瘤瘤变的预后明显为差。结论子宫平滑肌肉瘤的预后与患者年龄、临床－手术分期及病理诊断是否为平滑肌肉瘤有关。对于年轻患者，临床－手术分期为Ⅰ期，肿瘤局限，无弥漫性浸润者，具有保留附件的可能性。URPOSE To investigate the clinicopathological factors effecting the prognosis of uterine leiomyosarcomas.METHODS The data of clinicopathology and followup of 111 cases of uterine leiomyosarcomas were retrospectively analysed.RESULTS The older the age and the later the clinicalsurgical stage, the worse was the prognosis of the patients. Patients diagnosed histopathologically as leiomyosarcoma had the poorer prognosis than those diagnosed as “low malignant leiomyosarcomas” or “focal transformation on leiomyosarcoma”.CONCLUSIONS The prognosis for the uterine leiomyosarcomas was related to the patients' age, clinicalsurgical stage, and histopathological diagnosis. For the younger woman whose was in stage Ⅰ, tumor was limited without diffuse invasion, it is possible to adopt conservative surgery.

关 键 词：子宫肿瘤 平滑肌肉瘤 预后 病理 

分 类 号：R737.33[医药卫生—肿瘤]