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1. 对年轻人宫体癌是否保守治疗对合并多囊卵巢(PCO)的早期宫体癌,应充分考虑恰当地治疗 PCO,确立排卵,若能杜绝无排卵周期,可使宫体癌退缩。合并 Stein-Leventhal 综合征的子宫体癌大部分在组织学上是高分化腺癌。Fechner 和Kaufman 报道一例27岁未产妇合并 Stein-Leven-thal 综合征的高分化腺癌,行刮宫和卵巢楔形切除术后12年间无复发。但对一例21岁病人用克罗米芬和卵巢楔形切除术保守治疗,因癌灶残存而行子宫切除术,癌已浸润子宫肌层。因而认为可用保守疗法治疗合并 PCO 的宫体癌病例,应以子宫肌层无癌浸润为条件。
1. Young people with body cancer of the conservative treatment of polycystic ovary (PCO) in early palace body cancer, should give full consideration to the appropriate treatment of PCO to establish ovulation, if the elimination of anovulatory cycles, can make palace cancer shrink. The majority of endometrial cancer with Stein-Leventhal syndrome is histologically highly differentiated adenocarcinoma. Fechner and Kaufman reported a 27-year-old non-mothers with well-differentiated adenocarcinoma of the Stein-Leven-thal syndrome who had no recurrence 12 years after curettage and ovariectomy. But a 21-year-old patient with conservative treatment of clomiphene and ovarian wedge resection, hysterectomy due to residual cancer, cancer has infiltrated the myometrium. So that conservative treatment of PCO can be considered in patients with uterine cancer should be myometrial invasion of non-invasive conditions.