Surgical treatment and outcome of early invasive adecarcinoma of the uterine cervix(FIGO stage lA1)
Surgical treatment and outcome of early invasive adecarcinoma of the uterine cervix(FIGO stage lA1)
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早期宫颈浸润性腺癌（FIGO IA1期）的手术治疗及结局
DOI：
10.1111/ajco.12691
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Kato K
中科院分区：
文献类型：
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作者：
Yahata H;Sonoda K;Yasuaga K;Ohgami T;Kawano Y;Kaneki E;Okugawa K;Kaku T;Kato K
目的探讨FIGO IA1期宫颈腺癌的手术效果。方法2005年至2011年九州大学医院收治的12例宫颈腺癌患者，肿瘤深度小于3 mm，横向宽度小于7 mm（FIGO IA1期），经宫颈锥切术确诊。所有患者均接受单纯子宫切除术或单纯子宫颈切除术并盆腔淋巴结清扫术。结果患者平均年龄为 34 岁（范围为 26-70 岁）。中位随访期为 70.5 个月（范围：26-99 个月）。未见盆腔淋巴结转移，无患者出现疾病复发。结论浸润深度≤3mm、水平扩散≤7mm的早期浸润性宫颈腺癌，淋巴结转移或复发的可能性很小。因此，单纯子宫切除术或子宫颈切除术（不进行淋巴结切除术）可能是 IA1 期宫颈腺癌的替代治疗选择。
AimTo investigate the surgical outcome of FIGO stage IA1 cervical adenocarcinoma.MethodsBetween 2005 and 2011, 12 patients from Kyushu University Hospital had cervical adenocarcinoma, with a tumor depth of less than 3 mm and a horizontal width of less than 7 mm (FIGO stage IA1), diagnosed by cervical conization. All patients underwent simple hysterectomy or simple trachelectomy with pelvic lymphadenectomy.ResultsThe mean patient age was 34 years (range, 26–70 years). The median follow‐up period was 70.5 months (range, 26–99 months). No pelvic lymph‐node metastasis was seen, and no patient experienced disease recurrence.ConclusionEarly invasive cervical adenocarcinoma with a depth of invasion of 3 mm or less and a horizontal spread of 7 mm or less has little potential for nodal metastasis or recurrence. Therefore, simple hysterectomy or trachelectomy, without lymphadenectomy, might be an alternative treatment option for stage IA1 cervical adenocarcinoma.