乳癌术后妇科检诊的意义(附三苯氧胺使用或未使用病例分析)

在本院乳癌术后接受妇科检诊124例的结果与妇科普查(680人)相比较,发现宫颈部细胞学异常的发生率为1.2%,与普查没有差别,但使用三苯氧胺(TAM)的病人MI有右移倾向;子宫内膜细胞学异常3.5%,发生率较高;闭经病人11.4%;子宫肌瘤22.9%,服药期间没有缩小;卵巢肿大闭经前发生率23.1%,但多数可自然缩小。从以上结果以及乳癌危险因素和乳癌的转移观点看,认为乳癌术后的妇科检诊是重要的。

The Importance of Gynecology Examination and Diagnosis after Breast Cancer Operation

In order to explore the importance of gynecology examination and diagnosis after breast cancer operation, 124 cases with gynecology examination and diagnosis after cancer operation and 580 cases with gynecology general examination were analyzed and compared from 1990-1999. The result showed that the abnormal incidence ofVervical cell was 1.2% . There was no difference with general examination. MI in patients who using TAM, has the tendency of right move. The abnormal incidence of endometri-um cell was 3.5%. The morbidity is high, Amenorrhoea rate is 11.4 %, the uterine myomata 22.9%, and it is not reduce during taking medicine. The incidence of ovary enlargement before amenorrhoea is 23.1 % , but many of them can naturally reduce. From the results above and the view of cancer transfer it is necessity for the patients after breast cancer operation to make gynecology examination and diagnosis.