老年子宫内膜癌35例分析  

Analysis of endometrial carcinoma in 35 old patients

作　　者：惠宁[1] 谢峰[1] 崔英[1] 

机构地区：[1]第二军医大学长海医院妇产科,上海200433

出　　处：《第二军医大学学报》2003年第7期S008-S009,共2页Academic Journal of Second Military Medical University

摘　　要：对 198 5年至 1994年收治的子宫内膜癌患者中≥ 6 0岁 (老年组 ) 35例进行回顾性分析 ,并与同期≤ 5 0岁 (中青年组 )2 4例作对照分析。全部手术切除标本均经病理检查确诊。按 FIGO分期标准进行分期。结果 ,老年组与中青年组 a期分别为4例 (11.4 % )和 11例 (4 5 .4 % ) ,比较有明显的差异 (P<0 .0 1) ,中青年组无 期的患者 ;子宫肌层浸润深度大于 1/ 2的分别为4 2 .9% (15 / 35 )和 2 0 .8% (5 / 2 4 ,P<0 .0 1) ;5年存活率分别为 5 4 .3%和 83.4 % (P<0 .0 5 )。提示老年子宫内膜癌的预后较中青年患者差 。Retrospective study was carried out in 93 cases of endometrial carcinoma admitted to our hospital since Jan. 1985 to Dec. 1994. Thirty five cases were older than 60 years, and 24 cases were younger than 50 years. All of the cases had pathological diagnosis and were staged according to FIGO. When compared with the younger group, the rate of older patients with stage Ⅰa was higher (11.4% in younger and 45.4% in older, P <0.01);the younger group had no stage Ⅳ.The rate of patients with deeper invading was higher (42.9% in older and 20.8% in younger, P <0.01) and the 5 years survival rate was lower (54.3% in older and 83.4% in younger, P <0.05). The clinical stage and the invading depth of endometrial carcinoma may be responsible for the poorer prognosis of older patients compared with the younger patients.

关 键 词：子宫内膜癌 老年人 FIGO分期标准 预后 治疗 

分 类 号：R737.33[医药卫生—肿瘤]