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估计宫颈鳞癌患者病情时常包括宫内膜活检,而活检宫内膜中有鳞癌者并不少见。采用放射治疗宫颈鳞癌时,宫内膜受累对治疗的影响并不明确。为此,作者选取1962～1972年经放射治疗宫颈鳞癌994例,分析宫内膜有鳞癌时对预后的影响。选择的病例限于Ⅰ_B期、Ⅱ_A期和Ⅱ_B期。分期标准是以癌瘤体积大小为基础,与FIGO分期系统略有差别。常规宫内膜活检中有180例发现鳞癌,其中121例为散在鳞癌未见宫内膜间质,45例为散在鳞癌和与鳞癌分开的宫内膜间质,14例为鳞癌浸及宫内膜间质。180例宫内膜活检阳性者中164例仅用放疗,16例放疗后作腹膜外子宫切除术。
Cervical squamous cell carcinoma patients are often estimated to include the condition of endometrial biopsy, and biopsy of squamous cell carcinoma of the endometrium is not uncommon. The use of radiation treatment of cervical squamous cell carcinoma, the impact of endometrial involvement on the treatment is not clear. To this end, the author selected from 1962 to 1972 by radiotherapy of cervical squamous carcinoma in 994 cases of endometrial squamous cell carcinoma of the prognosis. The selected cases were limited to Ⅰ_B, Ⅱ_A and Ⅱ_B. Staging criteria are based on the size of the cancer and are slightly different from the FIGO staging system. Squamous cell carcinoma was found in 180 cases of conventional endometrial biopsy, of which 121 cases were squamous cell carcinoma without endometrial stroma, 45 cases were scattered squamous cell carcinoma and endometrial stroma separated from squamous cell carcinoma, and 14 cases were squamous cell carcinoma Cancer dipping and endometrial stroma. Of the 180 cases with endometrial biopsy, 164 cases were treated with radiotherapy alone and 16 cases with extrauterine hysterectomy after radiotherapy.