[The evaluation of endometrial invasion of cervical Ib grade carcinoma].
Depth and extension of infiltration into uterine corpus with regard to 5 years survival in 33 patients in which Wertheim-Meigs surgery was done due to cervical cancer stage Ib is estimated in this paper. Endometrial stromal invasion or depth invasion less than 1/2 of myometrium at the site of internal ostium were of similar (91.7% > 5 years survival time) as an invasion confined solely to uterine cervix (86.9% > 5 years survival). Invasion of more than 1/2 of myometrium was associated with poor prognosis (46.7% 5-years survival). Bad prognosis (16.6% 5-year survival time) in patients with deep and extensive of uterine corpus and fundus should be tied to massive infiltration increased hematogenous and lymphatic dissemination. None of patients with deep and extensive invasion, lymph nodes metastases and uterine vasa embolies did survive 5 years period of time. These patients need individual postoperative adjuvant therapy.
Smutek
J
J
I Kliniki Połoznictwa i Ginekologii Instytutu Połoznictwa i Chorób Kobiecych Akademii Medycznej w Gdańsku.
Mielnik
J
J
Jurczak
M
M
Kadylak
B
B
D000328:Adult; D002277:Carcinoma / Q000175:diagnosis*; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000401:mortality*; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011044:Poland / Q000453:epidemiology; D012189:Retrospective Studies; D015996:Survival Rate; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000401:mortality*
Wartość rokownicza oceny naciekania trzonu macicy w przypadkach raka szyjki macicy w stopniu Ib.