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1.子宫颈腺癌:病变大小和分级对淋巴结转移和预后的影响1973～1982年在 UCIA 治疗了112例原发性子宫颈腺癌,对其中首次手术治疗的51例患者的病变大小、分级与淋巴结转移和存活率之间的关系进行研究。38例行子宫广泛切除术,13例行剖腹探查分期,二者均包括盆腔和主动脉旁淋巴结清扫术。FIGO 分期;Ⅰb 41例:Ⅱa 4侧,Ⅱb 6例。分级,Ⅰ19例,Ⅱ18例,Ⅲ14例,主动脉旁和/或盆腔淋巴结阴性41例,阳性10例。盆腔淋巴结阳性率为19.6%,主动脉旁淋巴结阳性为9.8%。按分期淋巴结阳性率:Ⅰ期为14.0%,Ⅱ期为40.0%。分级为Ⅰ级的人多数病人(93%)病灶<3cm;而Ⅱ和Ⅲ级者与肿病大小无相关。15例病变<2cm者,无
1. Cervical adenocarcinoma: the size and grading lesions on lymph node metastasis and prognosis of 1973 ~ 1982 in UCIA treatment of 112 cases of primary cervical adenocarcinoma, of which the first surgical treatment of 51 patients with lesion size, grading and The relationship between lymph node metastasis and survival rate was studied. Thirty-eight patients underwent extensive hysterectomy and 13 underwent exploratory laparotomy, both of which included pelvic and para-aortic lymph node dissection. FIGO staging; Ib in 41 cases: Ⅱ a 4 sides, Ⅱ b 6 cases. Grade Ⅰ, Ⅰ19, Ⅱ18, Ⅲ14 cases, para-aortic and / or pelvic lymph node negative in 41 cases, positive in 10 cases. Pelvic lymph node positive rate was 19.6%, aortic para-node positive was 9.8%. The positive rate of lymph node by stage was 14.0% in stage Ⅰ and 40.0% in stage Ⅱ. The majority of patients classified as Grade I (93%) had lesions <3 cm; while those with Grade II and III had no correlation with the size of the swollen disease. 15 cases of lesions <2cm, none