年轻妇女子宫内膜癌13例分析

[目的]探索年轻妇女子宫内膜癌特点,达到早期诊断及预防,合理治疗的目的。[方法]分析大连医科大学第一临床学院妇产科1994年12月~2004年12月收治≤40岁的13例年轻妇女子宫内膜癌患者的临床资料的特点,并与同期>40岁的患者相比较。[结果]子宫内膜癌的发病10年来有了明显的增高,各年龄段的发病均有所增加,但各年龄段相比较无显著性差异(P>0.05)。在组织学分级上,40岁及40岁以下妇女与40岁以上妇女比较有显著差异性(P<0.05)。13例患者均行手术治疗。术前临床分期与术后手术病理分期符合率相比较,各年龄段无显著性差异(P>0.05)。[结论]≤40岁的年轻妇女子宫内膜癌发病有增加倾向,对于年轻妇女特别是具有高危因素的年轻妇女应及早预防,及早发现,及早治疗。

Analysis of 13 cases of endometrial carcinoma in young women

[Objective] This article was to study the etiology and pathological characters of endometrial carcinoma in young women to contribute to early diagnosis, early prevention, and early rational treatment. [Methods] There were 13 endometrial carcinoma cases not older than 40 years old in our hospital from Dec, 1994 to Dec, 2004. Their clinical characters are studied and compared with those of the cases older than 40 years old. [Results] Incidence rate of endometrial carcinoma has increased greatly in last ten years, so did it in different age groups. But there was no significant difference among these groups (P>0.05). In histological staging, there was significant difference between cases not older than 40 years old and cases older than 40 (P<0.05). All 13 patients have been operated. Between these two age groups, there is no difference in the matching rate of clinical and surgical pathological staging(P>0.05). [Conclusions] Incidence rate of endometrial carcinoma has a tendency to increase in women not older than 40 years old . Young patients, especially with risk factors, should be early prevented, early diagnosed, and early treated.