万隆Hasan Sadikin综合医院2013-2021年宫颈癌伴盆腔淋巴结转移的临床病理特征

Henny Sri Rejeki, S. Suryanti, A. Yantisetiasti, K. Mantilidewi, G. Winarno
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摘要

背景:宫颈癌是最常见的妇科恶性肿瘤,在印尼癌症中排名第一。淋巴结转移是复发的风险,影响生存和治疗。本研究的目的是确定在万隆Hasan Sadikin综合医院接受根治性子宫切除术和淋巴结清扫术的伴有盆腔淋巴结转移的宫颈癌的临床病理特征。方法:本研究采用横断面回顾性描述性研究。收集2013年至2021年期间癌症Ⅰ-Ⅱ期临床盆腔淋巴结转移患者的病理解剖实验室档案资料。数据以百分比表示。结果:64例资料患者中,宫颈癌最常见的年龄为40~50岁(51.6%),最常见的分期为II期(62.5%),最常见的组织病理学类型为鳞状细胞癌(70.3%),分化程度最高为中分化(35.9%),最常见的肿瘤大小≥4cm(54.7%)。患者年龄一般在41-50岁之间,II期,鳞状细胞癌,分化程度中等,肿瘤直径≥4cm。
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Clinicopathological Characteristics of Cervical Carcinoma with Pelvic Lymph Node Metastases in Dr. Hasan Sadikin General Hospital, Bandung 2013-2021
Background: Carcinoma of the cervix is the most common gynecological malignancy, which ranks first among carcinomas in Indonesia. Lymph node metastasis is a risk of recurrence, affecting survival and therapy. The purpose of this study was to determine the clinicopathological characteristics of cervical carcinoma with pelvic lymph node metastasis that had undergone radical hysterectomy and lymphadenectomy at Dr. Hasan Sadikin General Hospital, Bandung.Methods: This study used a cross-sectional retrospective descriptive study. Data on the clinical stage I-II cervical cancer patients with pelvic lymph node metastasis were collected  from the archives of the pathological anatomy  laboratory during period from 2013 to 2021. Data were presented in percentage.Results: There were 64 data patients, and the most common age of cervical carcinoma ranged from 40 to 50 years old (51.6%), the most common stage was stage II (62.5%), and the most frequent histopathological type was squamous cell carcinoma (70.3%). The highest degree of differentiation was moderate differentiation (35.9%). The most frequently found tumor size was ≥4 cm (54.7%).Conclusion: The cases of cervical carcinoma at Dr. Hasan Sadikin General Hospital Bandung were treated with radical hysterectomy and lymphadenectomy. The patients generally aged between 41-50 years old, stage II, squamous cell carcinoma with a moderate degree of differentiation and tumor diameter around ≥ 4 cm.
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