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早期子宫内膜癌标准治疗是剖腹手术分期,全宫加双附件切除,高危者辅加放疗。这种治疗无疑将失去生育功能。有部分患者强烈要求保留生育功能,并以孕酮作为首次治疗,虽然这并非标准治疗,但曾有报道单以孕酮治疗以保留生育功能。 单用孕酮治疗的子宫内膜癌21例,其中作者单位7例,年龄19～41岁。病理学为子宫内膜癌G1级。甲地孕酮每日160mg,口服3个月。4例治疗后取子宫内膜随访未见残瘤。随访7～46个月示初治有效。2例初治有效后复发,其中1例21个月时复发,再用甲地孕酮治疗,仍有效,但该患者以后因严
The standard treatment of early endometrial cancer laparotomy staging, whole house plus double attachment resection, high risk patients plus radiotherapy. This treatment will undoubtedly lose its fertility. Some patients are strongly required to retain the reproductive function, and progesterone as the first treatment, although this is not the standard treatment, but there is a single treatment with progesterone to retain reproductive function. 21 cases of endometrial cancer treated with progesterone alone, of which the author unit in 7 cases, aged 19 to 41 years. Pathology for endometrial cancer G1 level. Megestrol daily 160mg, orally 3 months. No residual tumor was found in 4 cases after follow-up of endometrium. Follow-up 7 to 46 months showed initial treatment effective. Two patients relapsed after initial treatment, of which 1 patient relapsed at 21 months, and then treated with megestrol, still effective, but the patient was later severely punished