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目的 分析子宫内膜乳头状浆液性腺癌的临床及病理特点。方法 自1986年至1996年共收治子宫内膜癌130例,其中以12例子宫内膜乳头状腺癌为A组,另118例为B组,分析其临床及病理特点,并对其结果进行统计学处理。结果 子宫浆液乳头状腺癌占9.2％,其发病较普通内膜癌晚,与不孕因素无关。术前分期不够准确,多靠术后准确分期。组织分化不良(P<0.01)有50％以上为深肌层浸润(P<0.05)。结论 子宫内膜浆液性乳头状腺癌临床及病理特点不同于普通内膜癌,其预后明显不良。
Objective To analyze the clinical and pathological features of endometrial papillary serous adenocarcinoma. Methods A total of 130 cases of endometrial cancer were treated from 1986 to 1996. Among them, 12 cases of endometrial papillary adenocarcinoma were group A and the other 118 cases were group B. The clinical and pathological features were analyzed and their results were analyzed Statistical analysis. Results Uterine serous papillary adenocarcinoma accounted for 9.2%, the incidence of endometrial cancer than ordinary, with infertility unrelated. Preoperative staging is not accurate enough, mostly depend on the exact postoperative staging. Poor tissue differentiation (P <0.01), more than 50% of deep myometrial invasion (P <0.05). Conclusion The clinical and pathological features of endometrial serous papillary adenocarcinoma are different from those of common endometrial carcinoma. Their prognosis is obviously poor.