子宮頚癌に対する広汎性子宮全摘術後の腟断端再発について

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書誌事項

タイトル別名
  • Stump Recurrence after Radical Hysterectomy for Patients with Uterine Cervical Cancer
公開日
1990-03-01
公開者
日本産科婦人科学会

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説明

広汎性子宮全摘術を施行した子宮頚部扁平上皮癌1,025例(I期543例, II期482例)のうち, 腟断端再発をきたした50例(4.9%, I期24例, II期26例)について検討した. I期, II期とも広汎性子宮全摘術時, リンパ節転移陽性群, および組織学的脈管侵襲を認めた群は, 陰性群および非侵襲群に比べ有意に腟断端再発率が高かった(p<0.01). 広汎性子宮全摘術時の切除腟長と腟断端再発との関係をみると, I期でリンパ節転移陰性群の腟断端再発例の平均最短腟長は, 1.8±0.8cm, 腟断端非再発例では2.5±0.9cmで, 両者間に有意の差を認めた(p<0.05). また, 腟を3cm切除した場合, 腟断端再発は1例もみられなかった. I期でリンパ節転移陽性例, およびII期症例では, 腟断端再発例と非再発例の腟長には有意差は認められなかった.
Of a total of 1,025 cases of radical hysterectomy for histological squamous cell carcinoma (543 stage I cases and 482 stage II cases), we examined 50 cases of recurrence of the carcinoma (4.9 percent ; 24stage I cases and 26 stage II cases) at the site of the vaginal stump. The percentage of recurrence at the site of the vaginal stump was significantly higher in stage I and stage II cases, in which metastases to the lymph nodes or vascular invasion was observed (p<0.01). The length of vagina excised during the radical hysterectomy was measured and its relationship to recurrence at the site of the vaginal stump was investigated. In stage I cases that did not exhibit metastases to the lymph nodes, the shortest vaginal length excised in cases with a positive recurrence at the site of the vaginal stump was 2.5±0.9cm ; the shortest vaginal length in cases with a negative recurrence at the site of the vaginal stump was 1.8±0.8cm. A significant difference (p<0.05) was observed between them. Furthermore, in stage I cases with no metastases to the lymph nodes, one recurrence at the site of the vaginal stump was observed when the vaginal length excised was 3cm. In stage I cases with metastases to the lymph nodes and in stage II cases, no significant difference was discovered between the length of vagina excised in cases with positive and those with negative recurrences of the carcinoma at the site of the vaginal stump.

収集根拠 : NII-ELS
資料形態 : テキストデータ
コレクション : 国立国会図書館デジタルコレクション > 電子書籍・電子雑誌 > 学術機関 > 学協会
著者所属: 癌研究会附属病院婦人科
Affiliation: Department of Gynecology, Cancer Institute Hospital

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