蔡志福, 陈丽来, 曾月, 梁月娟, 王鹤. 10例原发性宫颈淋巴瘤预后影响因素的分析[J]. 中国肿瘤临床, 2018, 45(14): 731-734. DOI: 10.3969/j.issn.1000-8179.2018.14.373
引用本文: 蔡志福, 陈丽来, 曾月, 梁月娟, 王鹤. 10例原发性宫颈淋巴瘤预后影响因素的分析[J]. 中国肿瘤临床, 2018, 45(14): 731-734. DOI: 10.3969/j.issn.1000-8179.2018.14.373
Cai Zhifu, Chen Lilai, Zeng Yue, Liang Yuejuan, Wang He. Analysis of prognostic factors in ten cases of primary cervical non-Hodgkin's lymphoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(14): 731-734. DOI: 10.3969/j.issn.1000-8179.2018.14.373
Citation: Cai Zhifu, Chen Lilai, Zeng Yue, Liang Yuejuan, Wang He. Analysis of prognostic factors in ten cases of primary cervical non-Hodgkin's lymphoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(14): 731-734. DOI: 10.3969/j.issn.1000-8179.2018.14.373

10例原发性宫颈淋巴瘤预后影响因素的分析

Analysis of prognostic factors in ten cases of primary cervical non-Hodgkin's lymphoma

  • 摘要:
      目的  探讨不同临床因素和治疗方法对原发性宫颈淋巴瘤(primary cervical non-Hodgkin's lymphoma,PCNL)预后的影响。
      方法  回顾性分析1996年11月至2016年10月广西医科大学附属肿瘤医院收治的10例PCNL患者临床病理资料,采用Kaplan Meier生存分析方法测算患者的总生存率(overall survival,OS)。分析不同临床分期和治疗方法对PCNL的疗效及预后。临床分期根据2009年国际妇产科联盟(FIGO)宫颈癌分期,其中Ⅰb期3例,Ⅱb期3例,Ⅲb期2例,Ⅳ期2例。
      结果  10例PCNL患者死亡8例,生存2例,生存期为5~153个月,中位生存期为22个月,1年OS为58.3%,2年OS为46.7%,5年OS为23.3%;早中期患者的1、2和5年OS分别为100%、80%和40%,FIGO分期≥Ⅲ期患者的1年OS为25%,2年和5年OS分别为0和3%。单纯放疗组1例,生存期为22个月;单纯化疗组3例,其中1例化疗6个疗程,生存期为153个月,其余2例均化疗1个疗程后放弃治疗,生存期分别为5个月和37个月;联合放化疗组2例,生存期分别为5个月和12个月;手术组2例,生存期分别为11个月和118个月。
      结论  临床分期为早期或晚期对PCNL患者的预后影响较大。在治疗上,早期患者可以选择单纯手术或化疗,而中晚期患者单一化疗并非劣于联合放化疗的治疗效果,为今后的临床治疗提供依据。

     

    Abstract:
      Objective  To investigate the impact of clinicopathologic characteristics and therapies on the prognosis of primary cervical non-Hodgkin's lymphoma.
      Methods  Ten patients with primary cervical non-Hodgkin's lymphoma (PCNL), who were enrolled in our hospital from November 1996 to October 2016 were studied retrospectively and the overall survival rate of disease was calculated by Kaplan-Meier survival analysis. The objective was to analyze the therapeutic effect and prognosis of different clinical stages and different treatment methods of the disease.
      Results  Eight patients died and 2 survived. The overall survival time was 5-153 months, the median survival time was 22 months, the 1 year survival rate was 58.3%, the 2 year survival rate was 46.7%, and the 5 year overall survival rate was 23.3%. In the early stage of lymphoma after year 1, 2, and 5, survival rates were 100%, 80%, and 40%, respectively. One year survival rate was 25% for patients with a stage higher thanⅢ; 2-year and 5-year survival rates were 0 and 3%, respectively. In the radiotherapy group, survival was 22 months and in the chemotherapy group, including 1 patient who received 6 cycles of chemotherapy, survival was 153 months. The other 2 patients discontinued treatment after 1 cycle of chemotherapy and their survival was 5 and 37 months, respectively. The survival in 2 cases with combined chemoradiotherapy was 5 and 12 months, respectively. There were 2 patients who were treated with surgery, and their survival was 11 and 118 months, respectively.
      Conclusions  The clinical stage has a great impact on the prognosis of patients with primary cervical lymphoma. For treatment, early stage patients can choose either minor surgery or chemotherapy, and the effect of single chemotherapy is not necessarily lower than that of combined chemoradiotherapy in the advanced stage. The factors were analyzed to provide a basis for future clinical treatment for PCNL patients.

     

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