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子宫内膜癌是女性生殖道常见的恶性肿瘤。患者平均年龄59岁。近年来在老年妇女中发病较多。为分析雌激素依赖性和非依赖性子宫内膜癌在老年患者中的差异,收集1990～1993年间75～92岁患子宫内膜腺癌的患者35例,复查了病理切片。分析结果为:57％为子宫内膜样腺癌,34％为非内膜样腺癌,9％为混合型腺癌。58％为Ⅰ期,8％为Ⅱ期,21％为Ⅲ期,12％为Ⅳ期。23％肿瘤的组织分化为G_1,77％为G_2或G_3。 20例子宫内膜样腺癌中40％(8例)为分化1级,55％为2级,5％为3级。癌周围内膜64％为增生性内膜,36％为萎缩性内膜。80％为Ⅰ期,47％有深肌层浸润。肥胖为多见的高危因素,其次为未产。多
Endometrial cancer is a common malignant tumor of the female reproductive tract. The average age of patients was 59 years. In recent years, the incidence of older women more. To analyze the differences in estrogen-dependent and non-dependent endometrial cancer in elderly patients, 35 patients with endometrial adenocarcinoma aged 75-92 years from 1990 to 1993 were collected for pathological examination. The results of the analysis were: 57% endometrioid adenocarcinoma, 34% endometrioid adenocarcinoma, and 9% mixed adenocarcinoma. 58% for stage Ⅰ, 8% for stage Ⅱ, 21% for stage Ⅲ, 12% for stage Ⅳ. Tissues of 23% of the tumors differentiated into G_1, 77% of them were G_2 or G_3. Forty percent of the 20 cases of endometrioid adenocarcinoma had grade 1, 55% grade 2, and 5% grade 3. 64% of cancerous endometrium was hyperplastic endometrium and 36% was atrophic endometrium. 80% for stage Ⅰ, 47% of deep myometrial invasion. Obesity is more common risk factors, followed by not produced. many