Clinical Therapy And Prognostic Analysis Of Cervicial Carcinoma

Clinical therapy and Prognostic Analysis of 63 cases cervical CarcinomaObjective To investigate the clinical features and prognostic factors of cervical adenocarcinoma.Methods 63 cases of cervical adenocarcinoma in Tianjin cancer hospital from January 1980 to January 2000 were analyzed retrospectively, including 17 patients of stage I, 33 stage II and 13 stage III.20 cases were given radiotherapy and 43 patients were administered for surgery and radiothery.Most patients with stage I+II were treated by radical hysterectomy and pelvic lymphadenectomy,preoperative radiotherapy was given for some patients.Results The percentage of cervical adenocarcinoma increased from 3.5% to 7.36% in last two decades. Overall 5 year survival rate was 56.9%(33/63 - 5),while 5 year survival rate of stage 1,11, III were 82.3%,54.5%,7.7% respectively.(P<0.05). 5 year survival rate for cervical lcrsion>cm and <4cm and with and without hysterectomy were 34.3% versus 60.7%(P<0.05) and 80% versus 39.3%(P>.05).Conculsions There is an increasing prevalence of invasive cervical adenocarcinoma.The prognostic factors of cervical adenocarcinoma were stage and bulkydisease. Multidisciplinary treatment including radical surgery are the mainstay of treatment for cervical adenocarcinoma.