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ⅱ期子宫内膜癌:限制术后对无淋巴结转移的肿瘤患者行阴道穹隆的放疗

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世界核心医学期刊文摘（妇产科学分册） 2006年第1期2卷 45-46页

作者： Rittenberg P. V. C. Lotocki R. J. Heywood M. S. Krepart G. V. 张丽娟(译) P. V. C. Rittenberg. Department of Obstetrics and Gynecology Division of Gynecologic Oncology Dalhousie University 5820 University Avenue Halifax NS B3H 1V7 Canada 不详

. To evaluate the outcomes of patients with node-negative stage II endometrial cancer who received vault brachytherapy without external beam pelvic radiotherapy (EBRT). Methods. A retrospective review of all stage II endometrioid type endometrial cancer patients referred to Cancer Care Manitoba was undertaken between October 1995 and March 2001. Forty-nine patients were identified with disease confined to the uterus, but not all patients received extended surgical staging (ESS) with pelvic lymphadenectomy. These patients were evaluated for recurrence and morbidity data. Results. Twenty node-negative stage II cancers were identified. Three were treated without adjuvant treatment, 12 received vault brachytherapy and 5 received more conventional treatment with EBRT and vault brachytherapy. No recurrences or deaths occurred in these patients. Mean follow-up was 40 months. No surgical complications were encountered in this group and no morbidity from radiotherapy was observed. Conclusions. Limiting adjuvant treatment to vault brachytherapy for node-negative stage II endometrial cancer results in less morbidity and excellent survival and is worthy of further investi gation.

关键词： ⅱ期子宫内膜癌无淋巴结转移肿瘤患者阴道穹隆放疗盆腔淋巴结清扫术术后辅助治疗死亡病例手术并发症

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磁共振成像对Ⅰ、ⅱ期子宫内膜癌的诊断价值

河南外科学杂志 2007年第6期13卷 73-74页

作者：李永丽徐俊玲张继良河南省人民医院磁共振室郑州450003

子宫内膜癌是女性生殖系统最常见的恶性肿瘤之一,治疗前对病变的准确分期有助于临床合理选择治疗方案及评估预后.MRI作为一种无创伤且具有极高软组织分辨率的检查方法,在子宫内膜癌术前诊断中的应用越来越多.笔者回顾分析经手术病理证... 详细信息

子宫内膜癌是女性生殖系统最常见的恶性肿瘤之一,治疗前对病变的准确分期有助于临床合理选择治疗方案及评估预后.MRI作为一种无创伤且具有极高软组织分辨率的检查方法,在子宫内膜癌术前诊断中的应用越来越多.笔者回顾分析经手术病理证实的Ⅰ、ⅱ期子宫内膜癌32例,将其病理结果与术前MRI检查作一对比分析,以期总结子宫内膜癌的MRI表现及MRI对子宫内膜癌分期诊断的准确性.

关键词： ⅱ期子宫内膜癌磁共振成像诊断价值 MRI检查女性生殖系统术前诊断 MRI表现恶性肿瘤

术后补充放射治疗对ⅱ期子宫内膜癌预后的影响

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河南肿瘤学杂志 2003年第6期16卷 447-448页

作者：何爱琴南通市肿瘤医院江苏南通226300

目的　探讨不同治疗方法对II期子宫内膜癌生存率及复发的影响。方法　对 1988年 1月至 1998年 12月在本院收治的 84例ⅱ期子宫内膜癌患者根据治疗方法不同将其分为A、B两组。A组 3 3例行次广泛子宫切除加盆腔淋巴结清扫术。B组 5 1例手... 详细信息

目的　探讨不同治疗方法对II期子宫内膜癌生存率及复发的影响。方法　对 1988年 1月至 1998年 12月在本院收治的 84例ⅱ期子宫内膜癌患者根据治疗方法不同将其分为A、B两组。A组 3 3例行次广泛子宫切除加盆腔淋巴结清扫术。B组 5 1例手术范围与A组相同术后加阴道残端区盆腔外照射。分析两组的生存率及复发情况。结果　全部病例 5年生存率为 79,7% ( 67/ 84) ,A ,B组 5年生存率分别为 78 7% ( 2 6/ 3 3 )和 84 3 % ( 4 3 / 5 1)。B组 5年生存率比A组高 ,统计学上无显著差异 (P >0 0 5 )。A、B两组盆腔复发率分别为 18 1% ( 6/ 3 3 ) ,5 8% ( 3 / 5 1) ,差异有显著性 (P ⅱ期子宫内膜癌患者经过系统的手术后补充阴道残端区盆腔外照射能明显减少局部复发但不能控制远处转移 ,对 5年生存率无明显影响。

关键词：术后放射治疗 ⅱ期子宫内膜癌预后存活率复发

对比腹腔镜辅助下的阴式子宫切除术与经腹子宫切除术在Ⅰ期和ⅱ期子宫内膜癌中的应用:手术资料、随访和存活率

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世界核心医学期刊文摘（妇产科学分册） 2005年第12期1卷 45-45页

作者： Zapico A. Fuentes P. Grassa A. 张丽娟 Servicio de Obstetricia Y Ginecologa Hospital Universitario Prncipe de Asturias Ctra Meco SN 28805 Madrid Spain

Objective. To assess the feasibility of laparoscopy in the treatment of early stage endometrial carcinoma and follow up outcomes compared to classic laparotomy. Methods. A retrospective review of 90 consecutive patients with endometrial cancer managed between January 1997 and December 2003. Two groups were defined whether they had been treated by laparoscopy (N = 38; LPS group) or by laparotomy (N = 37; LPM group). Nine patients treated by vaginal hysterectomy and 6 cases with stages III- IV were excluded from the study. Results. Both groups were comparable in mean age and mean BMI. Mean operating time was longer for LPS group, 164.9 ± 5.60 (77- 240) vs. 129.97 ± 5.08 (60- 180) min (P < 0.05). Intraoperative complications were seen in 7 patients (18.9% ) from LPM and in 5 cases (13.2% ) in the laparoscopic group. Two patients (5.2% ) initially evaluated by laparoscopy were converted into laparotomy due to an increasing and uncontrollable hypercapnia. There were more post-operative complications in patients managed by laparotomy (14 cases; 38.8% ), than by laparoscopy (7 cases; 18.4% ) (P < 0.05). Blood transfusion was necessary in 4 patients (10.8% ) in LPM group while none was required in LPS group (P < 0.01). Hospital readmission was only recorded in 3 patients treated by laparotomy (6.7% ) (P < 0.05). Hospital stay was longer in LPM group 7.06 ± 0.58 (4- 21) vs LPS 5.04 ± 0.73 (2- 17) days (P < 0.05). With a median follow up of 53.21 ± 4.32 months for LPM (5- 90) and 36.31 ± 2.75 months for LPS (9- 65) there was no significant difference in disease recurrence between the two groups. Conclusion. Laparoscopic staging combined with vaginal hysterectomy appears to be a feasible alternative to classical surgical approach in patients with early stage I or II endometrial carcinoma.

关键词： ⅱ期子宫内膜癌经腹子宫切除术腔镜手术时间腹腔镜检查经腹手术肿瘤分期平均体重指数经典术式病例排除

治疗早期子宫内膜癌术后单纯阴道近距离放疗可替代盆腔放疗

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河南医学研究 2005年第4期14卷 333-333页

国际妇产科联盟分期标准修订对手术前MRI预测子宫内膜癌分期准确性的影响

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中国肿瘤临床与康复 2014年第2期21卷 225-225页

浙江省肿瘤医院妇瘤科的一项研究探讨了子宫内膜癌国际妇产科联盟（FIGO）分期标准修订对MRI术前预测子宫内膜癌分期准确性的影响。研究结果显示，依据2009年FI—GO分期标准，术前MRI诊断I、ⅱ期子宫内膜癌的准确性明显提高（该文发表... 详细信息

浙江省肿瘤医院妇瘤科的一项研究探讨了子宫内膜癌国际妇产科联盟（FIGO）分期标准修订对MRI术前预测子宫内膜癌分期准确性的影响。研究结果显示，依据2009年FI—GO分期标准，术前MRI诊断I、ⅱ期子宫内膜癌的准确性明显提高（该文发表在《中华医学杂志》2013年第93卷19期）。对2006年8月至2010年7月在浙江省肿瘤医院接受初次手术治疗、术前行MRI的95例子宫内膜癌患者进行回顾性分析，根据不同的FIGO分期标准（1988年、2009年）对子宫内膜癌MRI图像进行分期，以对应的手术病理分期为金标准，

关键词： FIGO分期标准 ⅱ期子宫内膜癌国际妇产科联盟术前MRI 术前预测癌分期修订《中华医学杂志》