ADENOCARCINOMA OF THE BODY OF THE UTERUS

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 77 Số 4 - Trang 343-348 - 1970
B. V. Lewis1, Jon Stallworthy1, R. H. Cowdell1
1Division of Obstetrics and Gynaecology and Department of Pathology, United Oxford Hospitals

Tóm tắt

SummaryA series of 129 cases of adenocarcinoma of the uterus treated by Wertheim's hysterectomy and lymphadenectomy is reported. Preoperative radium was given together with postoperative irradiation when pelvic lymph nodes were involved in metastatic cancer.The five‐year survival was 71·5 per cent. This figure rose to 74 per cent when the growth did not involve the cervix.The incidence of lymph node involvement was 13·2 per cent, or 11·2 per cent when the cervix was free from growth. The incidence of node involvement was related to the degree of differentiation of the tumour and the depth of myometrial invasion. Thirty‐six per cent of patients with positive nodes survived 5 years when lymphadenectomy was combined with external radiation. When death occurred the metastatic deposits were usually outside the pelvis.It is concluded that lymphadenectomy need be performed only in patients with poorly differentiated and deeply invasive growth. Postoperative external irradiation is indicated if the nodes contain cancer.

Từ khóa


Tài liệu tham khảo

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Thông tin
Thông tin xuất bản

BJOG: An International Journal of Obstetrics and Gynaecology

Tập 77 Số 4

343-348

Thông tin tác giả