为了确定妇科癌瘤骨转移的部位及发病率与临床和组织病理学的关系,作者研究了克利夫兰大学40年间(1948～1984)305例病人尸检情况。其结果使人们得以从肿瘤受累的解剖学分期及组织病理学分级等方面,更好地理解肿瘤的骨转移。手术病理报告和初次活检切片,及尸检报告和切片,按照尸检发现将病人分为四组:①死于非妇科恶性肿瘤,包括死于与治疗有关合并症的病人;②疾病局限于盆腔;③全身转移但骨未受累;④全身转移及骨受累,所有骨转移病人均有别处的广泛转移。尸检发现①组占14.1%,②组占7.9%,③组占62.1%,④组占16.1%。有骨转移的49例中宫颈癌20例,子宫内膜癌17例,卵巢癌7例,外阴癌4 In order to determine the location and incidence of bone metastases in gynecologic cancers and their relationship to clinical and histopathology, the authors studied the autopsy of 305 patients over 40 years (1948-1984) of the University of Cleveland. As a result, people are able to better understand tumor bone metastases in terms of anatomic staging of tumor involvement and histopathological grading. According to the autopsy findings, the patients were divided into four groups: ① patients died of non-gynecological malignancies, including those who died of complications related to treatment; ② the disease was confined to the pelvis; ③ Systemic metastasis but not involved in bone; ④ systemic metastasis and bone involvement, all patients with bone metastases have extensive metastases elsewhere. Autopsy found ① group accounted for 14.1%, ② group accounted for 7.9%, ③ group accounted for 62.1%, ④ group accounted for 16.1%. 49 cases of bone metastasis in cervical cancer in 20 cases, 17 cases of endometrial cancer, ovarian cancer in 7 cases, vulvar cancer 4