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《CHINESE JOURNAL OF CANCER》 1999-05
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Clinical analysis of prognostic factors for 57 patients withcervical carcinoma (CC) younger than thirty years

LIANG Li zhi, HUANG Xin, LI Mang da,et al.Cancer Center, Sun Yat sen University of Medical Sciences,Guangzhou 510060, P.R. China  
Objective:To investigate the clinical characteristics and prognostic factors of the young patients with cervical carcinoma. Methods:The clinical data of 57 patients younger than 30 years (studied group) was studied retrospectively and was compared to 966 patients with CC from 50 to 55 years in control group diagnosed at the same period. Results:The percentage of young patients with CC was 1 2%(8/683) and 5 4%(39/720) in 1980s and 1990s respectively in our hospital (P 0 001).HPV positive rate was 45 9%(17/37) and 18 5%(22/119) in studied group and control group respectively (P 0 01). Positive rates of pelvic lymphadenometastases were 33 3%(5/15) and 11 3%(36/320)(P 0 05) for stage 1,46 2%(12/26) and 21 7%(88/406) for stage II(P 0 01) respetively. The 5 year survival rates of stage O,Ⅰ,Ⅱand Ⅲwas 100%,72 9%, 43 7%and 0%as well as 100%,84%,82 7%and 65 2%for studied group and control group respectively. There was no statistical difference between the two groups in stage Ⅰ.But there were statistical significant defferences in stage Ⅱ(P=0 027) and stage Ⅲ(P=0 001) between the two groups. Conclusions:①The percentage for young patients with CC has been increased in our hospital and HPV infection may be the main cause.②At the same time, young patients manifested cancerous erosion more frequently and should be differentiated from cervical erosion. ③In comparison to the control group, the prognosis of young patents was poor, it was related to higher percentage of adenocarcinoma and pelvic lymph node metastasis.
【CateGory Index】: R737.33
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