【摘要】：目的探討宮頸殘端癌的臨床特征、病理特點(diǎn)及治療方法。方法回顧性分析我院2010年10月~2015年10月12例宮頸殘端癌的臨床資料。年齡41~62歲,(50.2±6.7)歲,子宮次全切除術(shù)后2~20年,(10.3±5.2)年,11例有陰道不規(guī)則流血或(和)排液,經(jīng)宮頸活檢確診,其中鱗癌9例,腺癌2例,腺鱗癌1例。FIGO臨床分期Ⅰ期6例,Ⅱ期6例。10例行廣泛宮頸切除、雙附件切除、盆腔淋巴結(jié)清掃術(shù),其中ⅠA1期2例、ⅠB1期1例、ⅡA1期1例、ⅠB2期1例直接手術(shù),ⅠB2期2例、ⅡA2期3例新輔助化療后手術(shù),術(shù)后除ⅠA1期2例外其余8例均補(bǔ)充放療并化療;ⅡB期2例中1例行同步放化療,1例單純化療。結(jié)果 10例手術(shù)均獲成功,術(shù)中大出血輸血1例,輸尿管損傷1例,術(shù)后尿管留置時(shí)間超過(guò)2周2例,髂血管區(qū)潴留囊腫1例。10例化療、9例放療中發(fā)生骨髓抑制4例,肝功能損傷1例,放射性膀胱炎1例,放射性直腸炎2例。12例隨訪時(shí)間7~74個(gè)月,中位數(shù)27.5月,無(wú)遠(yuǎn)處轉(zhuǎn)移或死亡,3例盆腔局部未控和復(fù)發(fā)帶瘤生存。結(jié)論宮頸殘端癌的治療原則以手術(shù)和放療為主,化療為輔,嚴(yán)格掌控子宮次全切除術(shù)手術(shù)指征及術(shù)后嚴(yán)密隨訪對(duì)宮頸殘端癌的預(yù)防極其重要。
[Abstract]:Objective to investigate the clinical features, pathological features and treatment of cervical stump carcinoma. Methods the clinical data of 12 cases of cervical stump carcinoma from October 2010 to October 2015 in our hospital were retrospectively analyzed. The age was 41 ~ 62 years, (50.2 鹵6.7) years. After subtotal hysterectomy, (10.3 鹵5.2) years, 11 cases had irregular vaginal bleeding or / or effusion, including 9 cases of squamous cell carcinoma and 2 cases of adenocarcinoma. There were 1 case of adenosquamous carcinoma, 6 cases of FIGO clinical stage 鈪，

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