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子宫乳头状粘液癌(UPSC)临床根据内膜腺癌侵犯的组织学差异所进行的最佳处理是一个有争议的问题。作者总结10例UPSC在剖腹术和大部切除后接受全腹盆照射(WAP)作为辅助治疗。临床Ⅰ期9例患者中8例根据剖腹术发现肿瘤超过Ⅰ期。切除的子宫标本发现4例侵犯子宫肌层超过50%,7例侵及血管。9份腹膜冲洗标本3份阳性,2例有不典型细胞。5例无病生存102~133个
The optimal treatment of uterine papillary mucinous carcinoma (UPSC) clinically based on histological differences in the invasion of endometrial adenocarcinoma is a matter of debate. The authors conclude that 10 cases of UPSC received total abdominal irradiation (WAP) as adjuvant after laparotomy and subtotal resection. Eight of the nine clinical stage I patients underwent a laparotomy that exceeded the stage I tumor. Resection of the uterus specimens found 4 cases of invasion of the myometrium over 50%, 7 cases of invasion of blood vessels. Three samples of 9 samples were positive for peritoneal flushing and 2 were not typical cells. Five cases of disease-free survival of 102 to 133