外阴鳞状细胞癌新FIGO分期(2009)的合理性探讨

来源 :中华医学会第十四次全国妇科肿瘤学术会议 | 被引量 : 0次 | 上传用户:baslove
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目的 探讨新FIGO分期(2009)用于中国人群的合理性.方法 纳入外阴鳞癌病例共171例,收集整理患者的各项临床资料,病理切片进行重新复习,通过随访进行生存分析.结果 患者中位年龄为60岁(31 ~91岁),中位随访时间为56月(4-264月).5年总生存率(OS)、疾病特定生存率(CSS)和无复发生存率(RFS)分别为64.2%、70.9%和54.8%.术后病理提示腹股沟淋巴结转移共71(41.5%)例,手术切缘阳性者9例(5.3%),脉管浸润阳性者8例(4.7%).按照FIGO (1994)分期,Ⅰ期患者为40例,Ⅱ期为46例,Ⅲ期为61例,Ⅳ为24例;患者5年OS分别为77.9%、74.7%、63.4%、 23.3% (P<0.001).
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