郭科军, 葛莉莉, 薛晖. 年轻妇女宫颈癌的发病趋势及临床病理特点[J]. 中国肿瘤临床, 2007, 34(5): 269-270.
引用本文: 郭科军, 葛莉莉, 薛晖. 年轻妇女宫颈癌的发病趋势及临床病理特点[J]. 中国肿瘤临床, 2007, 34(5): 269-270.
Guo Kejun, Ge Lili, Xue Hui. The Prevalence and Clinical Pathological Features of Cervical Cancer in Younger Women[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(5): 269-270.
Citation: Guo Kejun, Ge Lili, Xue Hui. The Prevalence and Clinical Pathological Features of Cervical Cancer in Younger Women[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(5): 269-270.

年轻妇女宫颈癌的发病趋势及临床病理特点

The Prevalence and Clinical Pathological Features of Cervical Cancer in Younger Women

  • 摘要: 目的:探讨年轻妇女子宫颈癌的发病趋势、临床表现和病理特征。方法:回顾性收集本院1983年~2002年收治的子宫颈癌共678例,分为青年组(≤35岁)及中老年组(>35岁),比较分析两组的发病趋势、临床表现和病理特征。结果:在全部病例中青年组患者的构成比从1983年~1992年间的2.7%(13/475)上升到1993年~2002年间的19.7%(40/203,P<0.001),同期腺癌的构成比从8.2%(39/475)上升到13.8%(28/203,P<0.05),青年组中腺癌的构成比明显高于中老年组(30.2%/8.2%,P<0.001)。青年组的症状以接触性出血为主(66.0%,35/53),明显高于中老年组(27.0%,169/625,P<0.001)。青年组的主要体征为类似慢性宫颈炎的表现(37.7%,20/53),明显高于中老年组(5.4%,34/625,P<0.001)。结论:青年组子宫颈癌的构成比及腺癌的构成比均呈上升趋势,年轻患者的临床表现具有隐匿性,必须引起足够重视。

     

    Abstract: Objective: To analyze the prevalence, clinical presentation and pathological features of cervical cancer. Methods: 678 cases of cervical cancer were divided into the study group (patients under 35 years old) and the control group (patients older than 35 years old). We compared the two groups in terms of prevalence, clinical presentation and pathological features of cervical cancer. Results: The percentage of cervical cancer in the study group was 2.7% (13/475) in 1983-1992, but it was 19.7% (40/203) in 1993~2003 (P<0.001). The percentage of adenocarcinoma in the study group was 30.2% (16/53), but it was 8.2% (51/625) in the control group (P<0.001). The symptom of contact bleeding occurred in 66.0%(35/53) in the study group, but it only occurred in 27.0% (169/625) in the control group (P<0.001). Conclusions: There is an increasing prevalence of cervical cancer, especially cervical adenocarcinoma, in young women. The clinical symptoms of cervical cancer in young women are covert and should be screened for carefully.

     

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