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目的中青年妇女子宫内膜癌患者的临床特点,达到预防及早期诊断,合理治疗的目的。方法对23例45岁以下妇女子宫内膜癌患者进行回顾性总结分析。结果 23例患者中除2例晚期患者治疗死亡外,余21例手术治疗随访至今仍健在。结论中青年子宫内膜癌患者多与月经不调、不孕不育、多囊卵巢综合征等高危因素有关;多不具备子宫内膜癌三联征的典型表现;且多数为高分化腺癌,与子宫内膜腺癌增生及重度非典型增生难以区别;以手术治疗为主,预后比老年者好。对于有生育要求的可考虑保留生育功能或卵巢。
Objectives The clinical characteristics of young women with endometrial cancer patients to achieve the purpose of prevention and early diagnosis and reasonable treatment. Methods Twenty-three women under 45 years of age with endometrial cancer were retrospectively analyzed. Results Of the 23 patients, except for 2 patients who died of advanced disease, the remaining 21 patients were still alive after follow-up. Conclusions Middle-aged and young patients with endometrial cancer and irregular menstruation, infertility, polycystic ovary syndrome and other risk factors; do not have the typical performance of endometrial triad; and the majority of well-differentiated adenocarcinoma, And endometrial adenocarcinoma hyperplasia and severe atypical hyperplasia is difficult to distinguish; to surgical treatment, the prognosis is better than the elderly. For reproductive requirements may consider retaining fertility or ovarian.