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通常认为阴道出血是子宫内膜癌的一个早期症状,同时也认为初诊时看来是早期的患者是由于就医早,而初诊时看来是晚期的患者则是由于延误了就医。我们对这一概念做了评价。 所有的病人都是绝经≥10年者,有不正常阴道出血,均患子宫内膜癌并行子宫切除术。分为两组,A组:Ⅰ级(高分化),肿瘤浸润子宫肌层<50％;B组:Ⅲ级(低分化),肿瘤浸润深度≥50％。研究对象只包括阴道出血时间有确切记录者。肿瘤分级和浸润深度是根据术后病理检查结果确定的。
Vaginal bleeding is generally considered an early symptom of endometrial cancer, and at the same time is considered to be early in the first visit due to medical attention, but appears to be late in the first visit due to delays in medical treatment. We have commented on this concept. All patients are menopausal ≥ 10 years, have abnormal vaginal bleeding, are suffering from endometrial cancer and hysterectomy. Divided into two groups, group A: grade Ⅰ (well differentiated), tumor infiltration myometrium <50%; group B: grade Ⅲ (poorly differentiated), tumor invasion depth ≥ 50%. The subjects included only the exact record of vaginal bleeding time. Tumor grade and depth of invasion were determined based on postoperative pathologic findings.