补充广泛性手术治疗意外发现的宫颈浸润癌的效果

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Abstract Objective: To explore the clinical pathological features, perioperative complications and prognosis of accidental invasive cervical cancer treated by supplementary extensive surgery. Methods: Retrospective analysis of 6 patients with accidental invasive cervical cancer who accepted supplementary extensive surgery in the First Affiliated Hospital of Wenzhou Medical University from February 2016 to April 2017 and their clinical and pathological factors and prognostic factors were analyzed. The correlation between surgical factors were analyzed by Spearman correlation analysis. Results: The average age of these 6 patients was (50.7±7.5) years. Hysterectomy was carried out in 2 cases of CIN III, 1 case of uterus leiomyoma, 1 case of adenomyosis and 2 cases of cervical cancer in stage Ia1. Five of them had squamous carcinoma and 1 case of adenocarcinoma. There was 1 case in stage Ia1, 2 cases in stage Ia2, 3 cases in stage Ib1, in which patient in stage Ia1 had vascular infiltration. The interval time between the two operations was (23.8±13.9) d. The operative time was (176.0±77.9) min. Intraoperative bleeding was 150 (60, 800) mL. The number of pelvic lymph nodes was 24.5±6.6. The duration of indwelling catheter was (14.3±0.5) d. The time of hospitalization after supplementary extensive surgical was (10.0± 2.4) d. Bladder injury occurred in 1 patient. One patient had vascular infiltration and pelvic lymph node metastasis which was treated by postoperative adjuvant chemo-radiotherapy. One case of cervical adenocarcinoma with 4/5 muscular infiltration after initial operation, the postoperative chemotherapy was given based on platinum. There was significant correlation (r=0.840, P=0.036) between the interval time of the two operations and the time for indwelling catheter after supplementary extensive surgery. Conclusion: Supplementary extensive surgery is difficult but its perioperative complication rate is low and therefore it is feasible to treat the accidental invasive cervical cancer.

Key words： accidental invasive cervical cancer supplementary extensive surgery complication

Received: 05 August 2017

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	YU Jiangtao
	ZHENG Feiyun
	ZHAO Hongqin

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2018/V48/I4/294

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