妇科恶性肿瘤34391课件1.pptVIP

Lee TS, Kim JW, Kim TJ, et al. Ovarian preservation during the surgical treatment of early stage endometrial cancer: a nation-wide study conducted by the Korean Gynecologic Oncology Group. Gynecol Oncol. 2009 Oct;115(1):26-31. Epub 2009 Jul 26. 韩国KGOG研究175例Ⅰ期子宫内膜癌保留卵巢患者 平均年龄38岁，101例患者要求保留卵巢，69例术后诊断子宫内膜癌，5例原因不明 平均随访55月，无复发生存率94.3%，总生存率93.3%, 7例 (4.0%)复发 。Non-endometrioid histology (4/7), deep myometrial invasion (5/7), cervical stromal invasion (4/7), and inadequate adjuvant treatment (4/7). 10例 (5.8%) 死亡，5例死于疾病复发，5例非疾病相关原因 结论：早期子宫内膜样子宫内膜癌保留卵巢未增加复发几率 Walsh C,et al. Coexisting ovarian maligna