李隆玉, 乔志强, 张燕玲. 不同病理类型宫颈癌发病年龄趋势的初步观察[J]. 中国肿瘤临床, 2007, 34(6): 338-340.
引用本文: 李隆玉, 乔志强, 张燕玲. 不同病理类型宫颈癌发病年龄趋势的初步观察[J]. 中国肿瘤临床, 2007, 34(6): 338-340.
Li Longyu, Qiao Zhiqiang, Zhang Yanling. Age of Onset Tendency for Cervical Squamous Cell Carcinoma and Adenocarcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(6): 338-340.
Citation: Li Longyu, Qiao Zhiqiang, Zhang Yanling. Age of Onset Tendency for Cervical Squamous Cell Carcinoma and Adenocarcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(6): 338-340.

不同病理类型宫颈癌发病年龄趋势的初步观察

Age of Onset Tendency for Cervical Squamous Cell Carcinoma and Adenocarcinoma

  • 摘要: 目的:探讨宫颈癌的发病年龄现状及其与组织病理类型之间的关系,为不同病理类型宫颈癌的预后判断及科学合理的界定宫颈癌筛查年龄提供临床依据。方法:回顾性分析我科2000年1月~2004年12月行手术治疗的早期宫颈癌(Ⅰa~Ⅱa期)患者573例,临床诊断均以宫颈活组织病理检查作为确诊标准,临床分期按FIGO(1994年)标准。全部研究对象按年龄≤25岁、26~35岁、36~45岁、46~55岁、56~65岁、≥66岁分为6个组。观察不同病理类型宫颈癌在各年龄组的构成及分布情况。结果:573例宫颈癌患者中,宫颈鳞癌492例,宫颈腺癌81例。宫颈鳞癌患者平均年龄42.4岁,中位年龄43岁,各年龄组的患者所占比例分别为2.2%、21.7%、42.5%、24.2%、7.9%、1.4%;宫颈腺癌患者平均年龄为41.9岁,中位年龄为41岁,各年龄组的患者所占比例分别为4.7%、18.8%、30.6%、34.1%、11.8%、0。全部病例中,35岁以下的年轻宫颈癌患者所占比例为24.1%。结论:不同病理类型宫颈癌发病年龄无显著性差异(P>0.05),宫颈癌发病年龄呈年轻化趋势。

     

    Abstract: Objective: To explore the relationship between the age of onset for cervical carcinoma of two different histopathologic types, to offer clinical evidence for prognosis and to suggest a reasonable age to begin screening for cervical carcinoma. Methods: A retrospective analysis was performed using data from 573 patients with early stage cervical carcinoma (Stage Ia-IIa) undergoing surgical treatment between January 2000 and December 2004. Cervical biopsy was used to make a definitive diagnosis for all cases. The FIGO standards (1994) were used for determining clinical stage. All subjects were subdivided into 6 groups based on age brackets, ≤25, 26 to 35, 36 to 45, 46 to 55, 56 to 65 and ≥66 years old. Composition and distribution of the cervical carcinomas of different pathologic types were observed. Results: Of the 573 cervical carcinoma cases, 492 were confirmed as squamous cell carcinoma and 81 were adenocarcinoma. The mean age of the patients with squamous cell carcinoma of the cervix was 42.4 years, with a median age of 43. The ratio of patients with squamous cell carcinoma in each age group was 2.2%, 21.7%, 42.5%, 24.2%, 7.9% and 1.4% respectively. The mean age of patients with adenocarcinoma of the uterine cervix (AUC) was 41.9 years, with a median age of 41. The percentage of patients with AUC in each age group was 4.7%, 18.8%, 30.6%, 34.1%, 11.8% and 0%. For both types of cervical carcinoma, the proportion of young patients (<35years) with cervical carcinoma accounted for 24.1%. Conclusion: There is no significant difference in the age of onset between patients with squamous cell carcinoma of the cervix and patients with cervical adenocarcinoma (P> 0.05). Patients with cervical carcinoma tend to be young (<35 years) at the age of onset.

     

/

返回文章
返回