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目的探讨子宫乳头状浆液性癌的临床病理特点.预后及治疗方法。方法对我院1984.1~1998.1间收治的6例子宫乳头状浆液性癌的临床资料进行回顾性分析。结果子宫乳头状浆液性癌6例,占同期子宫内膜癌的7%,患者平均年龄62岁。病检:单纯型4例、混合型2例;病理分级均为Ⅱ、Ⅲ级,3例有淋巴/血管间隙受浸,3例复发(50%)。结论UPSC的临床及病理学特点与一般子宫内膜癌不同,具有高侵袭性,易子宫扩散,预后差,应采取相应治疗措施。
Objective To investigate the clinical and pathological features of uterine papillary serous carcinoma. Prognosis and treatment. Methods The clinical data of 6 cases of uterine papillary serous carcinoma admitted from 1984.1 to 1998.1 in our hospital were analyzed retrospectively. Results Uterine papillary serous carcinoma in 6 cases, accounting for 7% of endometrial cancer over the same period, the average age of 62 patients. Disease examination: simple type in 4 cases, mixed type in 2 cases; pathological grade were grade Ⅱ, Ⅲ, 3 cases of lymphoid / vascular space immersion, 3 cases of recurrence (50%). Conclusion The clinical and pathological features of UPSC are different from those of normal endometrial carcinoma. They are characterized by high invasiveness, easy diffusion of uterus, and poor prognosis. Corresponding treatment measures should be taken.