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作者总结了1949—1978年内527例子宫内膜恶性肿瘤的治疗病例,其中491例是宫体癌。患者26~82岁,平均55.9岁,50岁以上381例(78%)。随着平均寿命的延长,高龄患者近年有增加倾向。27.9%的患者不孕,31.8%未产。体重60kg 以上79例(16.1%);近年有增加趋势。而39kg 以下仅39例(7.9%),可能与使用激素有关。因肥胖者脂肪内的雌激素积聚,对子宫内膜产生持续刺激而癌变。患者常伴高血压(15.9%)和糖尿病(4.3%)。78.9%的患者初诊主诉为性器出血,其次是带下和月
The authors summarized the treatment of 527 cases of endometrial malignancy from 1949 to 1978, of which 491 cases were uterine cancer. The patients aged 26 to 82 years old were 55.9 years old and 381 (78%) were over 50 years old. With the increase of average life expectancy, older patients tend to increase in recent years. 27.9% of patients were infertile and 31.8% were not productive. More than 60 kg weight 79 cases (16.1%); in recent years there is an increasing trend. However, only 39 (7.9%) patients under 39kg may be related to the use of hormones. As a result of the accumulation of estrogen in the fat of obese people, the endometrium continues to stimulate and become cancerous. Patients often have hypertension (15.9%) and diabetes (4.3%). 78.9% of patients were newly diagnosed with genital hemorrhage, followed by vaginal discharge and monthly