Pretreatment prognostic factors in carcinoma of the uterine cervix: A multivariable analysis of the effect of age, stage, histology and blood counts on survival

作者: Daniel S. Kapp , Diana Fischer , Enrique Gutierrez , Ernest I. Kohorn , Peter E. Schwartz

DOI: 10.1016/0360-3016(83)90060-3

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摘要: Abstract From January, 1953 through December, 1977, 910 previously untreated patients with invasive carcinoma of the uterine cervix (Stages IB-IVB) were seen at Yale-New Haven Medical Center and affiliated hospitals. An extensive retrospective analysis was undertaken in an attempt to identify prognostically significant pretreatment factors. The studied uniformly staged according current FIGO recommendations majority had been treated under standardized protocols combining external beam radiation therapy intracavitary radium. Pretreatment parameters, including prior medical illnesses, gross tumor characteristics, histology, blood parameters studied, employing stepwise Cox regression analyses possible effects all factors two-way interactions among on survival, disease-free survival freedom from local-regional failure, controlling for stage disease. stage, patient age diagnosis, neutrophil count hematocrit, position, subtotal hysterectomy, history diabetes mellitus number pregnancies found have prognostic significance. When other disease controlled for, increased size associated decreased control rates.

参考文章(30)
S.B. Gusberg, Grace G. Herman, Radiosensitivity and virulence factors in cervical cancer. Individualization of treatment. American Journal of Obstetrics and Gynecology. ,vol. 100, pp. 627- 639 ,(1968) , 10.1016/S0002-9378(15)33388-3
R. S. Bush, F. A. Beale, A. J. Dembo, W. E. Allt, H. Bean, J. F. Pringle, R. D. Jenkin, Definitive evidence for hypoxic cells influencing cure in cancer therapy. The British journal of cancer. Supplement. ,vol. 3, pp. 302- 306 ,(1978)
F.N. Rutledge, A.E. Galakatos, J.T. Wharton, J.P. Smith, Adenocarcinoma of the uterine cervix. American Journal of Obstetrics and Gynecology. ,vol. 122, pp. 236- 245 ,(1975) , 10.1016/S0002-9378(16)33496-2
P. Hierlihy, R. D. Jenkin, J. A. Stryker, Anemia as a prognostic factor in cancer of the cervix: a preliminary report Canadian Medical Association Journal. ,vol. 100, pp. 1100- 1102 ,(1969)
Philip J. Disaia, C.Paul Morrow, Annlia Hill, R.N. Lois Mittelstaedt, Immune competence and survival in patients with advanced cervical cancer: Peripheral lymphocyte counts International Journal of Radiation Oncology Biology Physics. ,vol. 4, pp. 449- 451 ,(1978) , 10.1016/0360-3016(78)90077-9
FELIX N. RUTLEDGE, AUGUSTO G. GUTIERREZ, GILBERT H. FLETCHER, MANAGEMENT OF STAGE I AND II ADENOCARCINOMAS OF THE UTERINE CERVIX ON INTACT UTERUS American Journal of Roentgenology. ,vol. 102, pp. 161- 164 ,(1968) , 10.2214/AJR.102.1.161
Pierre Richaud, Norah duV Tapley, Lateralized lesions of the oral cavity and oropharynx treated in part with the electron beam International Journal of Radiation Oncology*Biology*Physics. ,vol. 5, pp. 461- 465 ,(1979) , 10.1016/0360-3016(79)90806-X
STANLEY R. M. ZERNE, JOHN MCLEAN MORRIS, Prognostic significance of cytologic response in radiation of gynecologic cancer. Obstetrics & Gynecology. ,vol. 19, pp. 145- 155 ,(1962) , 10.1097/00006254-196208000-00032
Prosper Igboeli, Daniel S. Kapp, Roberta Lawrence, Peter E. Schwartz, Carcinoma of the cervical stump: comparison of radiation therapy factors, survival and patterns of failure with carcinoma of the intact uterus International Journal of Radiation Oncology Biology Physics. ,vol. 9, pp. 153- 159 ,(1983) , 10.1016/0360-3016(83)90092-5
Richard H. Nalick, Philip J. DiSaia, Thomas H. Rea, C.Paul Morrow, Immunocompetence and prognosis in patients with gynecologic cancer Gynecologic Oncology. ,vol. 2, pp. 81- 92 ,(1974) , 10.1016/0090-8258(74)90042-0