中国实用妇科与产科杂志2024，Vol.40Issue(3)：344-348,5.DOI:10.19538/j.fk2024030118
原发性子宫颈透明细胞腺癌32例临床病理分析
Primary clear cell adenocarcinoma of the uterine cervix:a clinicopathological analysis of 32 patients
摘要
Abstract
Objective To investigate the clinical and pathological features and prognosis of primary clear cell adenocarcinoma of the uterine cervix(PCCAC).Methods Thirty-two patients diagnosed with PCCAC and treated at Qilu Hospital of Shandong University from January 2013 to January 2023 were collected,their clinical and pathological characteristics were analyzed,and the Log-rank test was performed to explore factors associated with patient survival.Results The median age of the thirty-two patients was 48 years.All patients underwent hysterectomy and pelvic lymphadenectomy,and the unilateral or bilateral ovaries were preserved in 5 cases.The median follow-up was 45 months(ranging,1-116 months),1 case was lost to followup,3 patients died of multiple organ dysfunction syndrome due to recurrence and metastasis,and 1 patient recurred but the prognosis was good after comprehensive treatment;no recurrence or metastasis was found in the follow-up of the remaining patients.Log-rank test showed that age＞50 years,menopause,endogenous or cervical canal type and corpus uteri invasion were associated with worse prognosis(P＜0.05).Conclusion Age＞50 years,menopause,endogenous or cervical canal type and corpus uteri invasion may be prognostic factors for survival of PCCAC patients.Ovarian preservation does not seem to affect the prognosis of patients.关键词
子宫颈透明细胞腺癌/预后/卵巢转移/保留卵巢Key words
clear cell adenocarcinoma of the uterine cervix/prognosis/ovarian metastasis/ovarian-preserving分类
医药卫生引用本文复制引用
倪新雨,屈庆喜,张师前..原发性子宫颈透明细胞腺癌32例临床病理分析[J].中国实用妇科与产科杂志,2024,40(3):344-348,5.基金项目
山东省医学会临床科研资金(YXH2022ZX145) （YXH2022ZX145）
