子宮内膜間質肉腫10症例の臨床的検討

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  • Clinical Analysis of 10 Cases of Endometrial Stromal Sarcoma of the Uterus

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Ten cases of endometrial stromal sarcoma(ESS)of the uterus were evaluated at Niigata University Hospital and collaborating hospitals. Patients averaged 46.9 years of age(24 to 69 years). Most(70%)complained of genital bleeding. Only 40% were diagnosed as having malignant uterine tumors before surgery. The prognostic factors for ESS were the histological grade, i.e.mitotic count, the degree of myometrial invasion and the residual tumor after a primary operation. In recurrent cases, although the patients with high grade ESS teended to have a poor prognosis, those with low grade ESS tended to have long-term survival if they underwent repeated cytoreductive surgery.

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