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本文分析了经我院手术治疗并经病理检查证实的子宫内膜癌173例的临床资料,占同期女性生殖道恶性肿瘤的26.3％。八类子宫内膜癌组织学亚型中以内膜样腺癌最多(73.4％)。内膜样腺癌、腺角化癌、分泌型腺癌、粘液型腺癌,其细胞分化好的,临床期别早的,病灶局限于内膜及浅肌层浸润的,淋巴脉管无转移的,其发生率显著高于腺鳞癌、透亮细胞癌及浆液乳头状腺癌(P<0.05～0.001)。而癌周内膜反应及淋巴细胞浸润,各病理亚型间无差异(P>0.05)。提示:内膜样腺癌、腺角化癌、分泌型腺癌、粘液型腺癌生物学行为较好,而腺鳞癌、透亮细胞癌、浆液乳头状腺癌具有不良的生物学行为,是内膜癌中具有高度危险性的三种亚型。
This article analyzes the clinical data of 173 cases of endometrial carcinoma confirmed by pathological examination and surgically treated in our hospital, accounting for 26.3% of female genital tract malignant tumors in the same period. Of the eight endometrial histologic subtypes, endodermal adenocarcinoma was the most (73.4%). Endometrioid adenocarcinoma, adenocarcinoma, secretory adenocarcinoma, mucinous adenocarcinoma, the cell differentiation is good, early clinical stage, the lesion is confined to the intima and superficial myometrial invasion, lymph vessel without metastasis The incidence was significantly higher than that of adenosquamous carcinoma, clear cell carcinoma and serous papillary adenocarcinoma (P <0.05 ~ 0.001). There was no significant difference in the endometrial reaction and lymphocyte infiltration in the peritumoral neoplasms (P> 0.05). Tip: endometrioid adenocarcinoma, adenocarcinoma, secretory adenocarcinoma, mucinous adenocarcinoma better biological behavior, and adenosquamous carcinoma, translucent cell carcinoma, serous papillary adenocarcinoma with poor biological behavior is Three subtypes of high-risk endometrial cancer.