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年轻宫颈癌的临床特征及其预后因素分析
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摘要
目的探讨年轻妇女宫颈癌的发病趋势、病因、临床病理特征、治疗及预后等情况。方法对40例年轻子宫颈癌患者的临床资料进行预后相关影响因素分析。结果年轻女性宫颈癌临床表现主要为接触性阴道出血,单因素分析显示,肿瘤直径、FIGO分期、病理类型、淋巴结转移与预后有关,均有统计学意义(P<0.05),分化程度、术后或术前是否放化疗对预后的影响均无统计学意义(P<0.05)。Cox回归分析结果显示临床分期、淋巴结转移更是影响预后的独立高危因素。结论年轻宫颈癌发病率较高,年轻宫颈癌临床期别早、淋巴结转移率高,有其独特的临床与病理学特征,其不良生物学特征对患者的预后是有影响的。建议对年轻妇女应加强普查和防治。
        
引文
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