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作者分析了1969年8月至1973年4月间未经治疗的浸润性宫颈癌的腹膜后淋巴结转移与临床分期的关系。全组49例均经病理证实为鳞癌,1例为腺棘癌。首先经体检、胸片、静脉肾盂造影、钡灌肠、膀胱镜、乙状结肠镜及必要时做同位素扫描等检查;并根据国际抗癌联盟的TNM分期法结合A J C分期法,确定Ⅰ期15例,其中5例为Ⅰ_a(T_(1a) N_r M_o)和10例Ⅰ_b(T_(1b) N_x M_o),8例Ⅱ_b(T_(2b) N_x M_o),Ⅲ期11例,Ⅳ期3例,其中2例为Ⅳ_a(T_(4a) N_x M_o)。
The authors analyzed the relationship between retroperitoneal lymph node metastasis and clinical staging of untreated invasive cervical cancer between August 1969 and April 1973. All the 49 cases were confirmed by pathology as squamous cell carcinoma, and 1 case was adenocarcinoma. First, physical examination, chest X-ray, intravenous pyelography, barium enema, cystoscopy, sigmoidoscopy, and if necessary, isotope scanning were performed; and according to the TNM staging method of the International Anticancer Union combined with the AJC staging method, 15 cases of phase I were determined, including Five cases were I_a (T_(1a) N_r M_o) and 10 cases I_b (T_(1b) N_x M_o), 8 cases II_b (T_(2b) N_x M_o), 11 cases of III stage, 3 cases of IV stage, including 2 cases It is IV_a(T_(4a) N_x M_o).