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目的分析某院20年宫颈腺癌的发病趋势和临床特点。方法对1990年1月～2009年12月该院初治的510例宫颈腺癌的临床病理资料进行回顾性分析。结果 (1)腺癌的发病比例呈现上升的趋势;(2)该院20年来宫颈腺癌的发病年龄逐渐降低,中位年龄由1990～1994年的48.5岁降至2005～2009年的45岁;同时Ⅰ期病例所占的比例逐渐升高;(3)与其他年龄段相比,年轻宫颈腺癌(≤35岁)Ⅰ期病例所占的比例最高。结论从1990年到2009宫颈腺癌的发病年龄逐渐降低,而Ⅰ期病例所占的比例也逐步升高,可能与医疗水平的提高有关。
Objective To analyze the incidence and clinical characteristics of cervical adenocarcinoma in a hospital for 20 years. Methods From January 1990 to December 2009, the clinical data of 510 patients with newly diagnosed cervical adenocarcinoma in our hospital were analyzed retrospectively. Results (1) The incidence of adenocarcinoma showed an upward trend. (2) The incidence of cervical adenocarcinoma decreased gradually in the past 20 years. The median age decreased from 48.5 years in 1990 ~ 1994 to 45 years in 2005 ~ 2009 ; While the proportion of stage Ⅰ patients gradually increased; (3) Compared with other age groups, young cervical adenocarcinoma (≤ 35 years old) the highest proportion of cases of stage Ⅰ. Conclusions From 1990 to 2009, the age of onset of cervical adenocarcinoma gradually decreased, while the proportion of stage Ⅰ cases also gradually increased, which may be related to the improvement of medical care.