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100 Cases Of Early Endometrial Cancer Patients Affected The Clinical Analysis Of Prognostic Risk Factors

Posted on:2018-11-20Degree:MasterType:Thesis
Country:ChinaCandidate:J LiuFull Text:PDF
GTID:2334330542466374Subject:Obstetrics and gynecology
Abstract/Summary:PDF Full Text Request
Objective:In order to investigate the risk factors for the prognosis of early endometrial cancer.Methods:a retrospective analysis of data integrity,surgery and the pathology diagnosed,underwent surgical pathology staging(FIGO,2009),100 cases of early endometrial carcinoma patients general condition and the choice of treatment.Results:in 100 patients cases,the average age:53.05 years(24 to 76),Age:>60 years:23(23%);Age:<60 years:77(77%).Surgical pathological ? stage:86(86%),? stage:14(14%).Combined medical diseases:27 cases of hypertension,diabetes:19 cases,1 case of breast cancer,1 case of ovarian serous cystic tumor,3 cases of hypothyroidism.Tissue types:endometrial Aden carcinoma 94 cases(94%),the sample endometrial Aden carcinoma,6 cases(6%),including clear cell carcinoma 3 cases,endometrial serouscarcinoma 2 cases,glands squamous carcinoma in 1 case.The number of lymnph nodes in the pelvic cavity:lymph node cleaning was greater than 10:89(83%);Lymph node cleaning<10:11(11%)No radiotherapy was performed in 12 cases(12%).Postoperative radiotherapy:78(78%).No chemotherapy after surgery:81,(81%),chemotherapy after surgery:19(19%).results:postoperative disease depth of tumor invasion and muscle layer 1/3 or 7 cases(67%),immersion and muscle layer depth<1/yet cases(33%),tumor diameter 3 cm or higher:18 cases(18%),tumor diameter<3 cm:72 cases(72%).There were 13 cases of local recurrence,13 cases of local recurrence,and 2 cases in the distance.Recurrence of postoperative recurrence in 3 cases,1 year 2 years in 2 cases,8 cases of recurrence at 3 years and distant metastases 2 cases for special pathological type,recurrence cases much older intolerance to postoperative adjuvant therapy,special organization classification,invasion degree of deep muscle layer,the tumor diameter,surgical-pathologic staging later.Conclusion:the single factor analysis showed that age,surgical pathologic stage,late tumor diameter greater than 3 cm,depth of myometrial invasion,pathological type,postoperative adjuvant therapy are related to survival rate.Multivariate analysis revealed that FIGO surgical stage,pathological type and age are the independent predictive factors for the endometrial carcinoma.
Keywords/Search Tags:Early Endometrial, carcinoma rate of survivors, prognostic
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