Adnocarcinoma of the cervix (A report of 363 cases)
Tóm tắt
From 1959 through to May, 1993, 363 patients with adenocarcinoma of uterine cervix were initially treated which accounted for 2.5% of all initially treated cases with cervical carcinoma. Patients’ mean age was 50.5 years. 46% of the cases were post-menopausal. The main symptom was irregular vaginal bleeding and/or discharge. Over 88% of the cases were in stage II and III of the disease, they were treated with radiotherapy alone. The overall 5-years survival rate was 51.8%. The recurrence rate was 17.4% with a mean time to recurrence of 33.3 months Thirteen patients recurred beyond 5 years. Recurrence was accompanied with lung metastasis in 17 patients and supraclavicular lymph node metastasis in 11. Among patients whose tumor recurred the 1- and 2-year survival rate were 35.2% and 19.2% respectively. The most significant prognostic factors were the stage of disease, the size of the tumor and the histologic subtypes.
Tài liệu tham khảo
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