宫颈残端癌28例临床分析

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[目的]分析宫颈残端癌的诊断与治疗。[方法]对28例宫颈残端癌患者的临床资料进行回顾性分析,残余宫颈切除术3例,残余宫颈次广泛切除术2例,残余宫颈广泛切除及盆腔淋巴结清扫术23例。[结果]28例患者随访10~119个月不等,失访1例,死亡3例。3年生存率为86.14%,5年生存率为78.65%。[结论]在个体化辅加放疗和或化疗后施行手术治疗宫颈残端癌可获较满意的治疗结果。 [Objective] To analyze the diagnosis and treatment of cervical stump cancer. [Methods] The clinical data of 28 cases of cervical stump cancer were retrospectively analyzed. Three cases of residual cervical excision, two cases of residual cervical subtotal resection, extensive resection of residual cervix and pelvic lymph node dissection were performed in 23 cases. [Results] 28 patients were followed up for 10 to 119 months, 1 patient lost to follow-up and 3 died. The 3-year survival rate was 86.14% and the 5-year survival rate was 78.65%. [Conclusion] Satisfactory treatment results can be obtained in patients with cervical stump carcinoma treated with individual adjuvant radiotherapy and / or chemotherapy.
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