Clinical study of sarcoma of the uterus.
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Eleven patients with uterine sarcoma were evaluated and the following results were obtained.Preoperatively, cytological abnormality was detected in eight out of the nine patients but correct cytological diagnosis was made in none of the eight patients. On the other hand, correct histological diagnosis was made in five of the nine patients. However, in three cases with a diagnosis of endometrial cancer histologically, all of them were finally diagnosed as having malignant mixed Mullerian timor (MMMT). It was thought that endometrial biopsy detected only epithelial element. Remaining one case was diagnosed as having myoma uterii.All of patients above stage II died, although, three out of the six patients with stage I died. The remaining three patients did not survive for more than five years. There were no survivors with greater than one third depth of invasion, and three out the six patients whose invasion were within one third died. Thus, the rate of recurrence is high even in the superficially limited lesion in spite of postoperative radiation and chemotherapy. Therefore, the problem of whether postoperative adjuvant therapy is necessary or not for cases of uterine sarcoma remains to be unsettled.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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