Radiation Oncology, Chulolongkorn University : Prognostic factors - Post Radical Hysterectomy

Radiation Oncology Chulolongkorn University

Prognostic factors - Post Radical Hysterectomy

Í§¤ì»ÃÐ¡ÍºÊÓ¤Ñ·ÕèÁÕ¼ÅµèÍÍÑµÃÒ¡ÒÃÃÍ´ªÕÇÔµËÅÑ§¡ÒÃ·Ó¼èÒµÑ´ÁÕ´Ñ§¹Õé ¤×Í
1. µèÍÁ¹éÓàËÅ×Í§ (lymph nodes) ¼Ùé»èÇÂ·Õè¾ºÇèÒÁÕ¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¢Í§âÃ¤ä»·ÕèµèÍÁ¹éÓàËÅ×Í§
à»ç¹µÑÇá»Ã·ÕèÊÓ¤Ñ·ÕèÊØ´µèÍ¼ÅÅÑ¾·ì¢Í§¡ÒÃ¼èÒµÑ´ ä´éá¡è ¡ÒÃ¡ÅÑºà»ç¹«éÓ¢Í§âÃ¤áÅÐ¡ÒÃÁÕªÕÇÔµÃÍ´
¼Ùé»èÇÂ·ÕèäÁè¾ºÇèÒÁÕ¡ÒÃá¾Ãè¡ÃÐ¨ÒÂä»·ÕèµèÍÁ¹éÓàËÅ×Í§ ¨ÐÁÕÍÑµÃÒÃÍ´ªÕÇÔµ·Õè 5 »Õ à·èÒ¡Ñº 90% ÊèÇ¹¼Ùé»èÇÂ
·ÕèÁÕ¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¢Í§âÃ¤à¢éÒÊÙèµèÍÁ¹éÓàËÅ×Í§¨ÐÁÕÍÑµÃÒÃÍ´ªÕÇÔµ·Õè 5 »Õ ÍÂÙèÃÐËÇèÒ§ 20-60% à·èÒ¹Ñé¹ 36 2. ¢¹Ò´¢Í§ÁÐàÃç§»°ÁÀÙÁÔ 37 (Tumor size) ¢¹Ò´¢Í§ÁÐàÃç§¡çÁÕ¼ÅµèÍÍÑµÃÒ¡ÒÃÃÍ´ªÕÇÔµ¢Í§
¼Ùé»èÇÂËÅÑ§¡ÒÃÃÑ¡ÉÒ «Öè§¨ÐàËç¹ÇèÒà»ç¹¢éÍº¡¾ÃèÍ§ÍÂèÒ§Ë¹Öè§¢Í§ FIGO staging ·ÕèäÁèä´é¡ÓË¹´¢¹Ò´
¢Í§ÁÐàÃç§äÇéã¹¡ÒÃ¨Ñ´ÃÐÂÐ¢Í§âÃ¤
¢¹Ò´¢Í§ÁÐàÃç§»°ÁÀÙÁÔ ÍÑµÃÒÃÍ´ªÕÇÔµËÅÑ§¡ÒÃÃÑ¡ÉÒ·Õè 5 »Õ
<2 «Á. 90%
2-4 «Á. 60%
> 4 «Á. 40%
3. Parametrial spread
Negative 90%
Positive 69%
4. Lymphatic - Vascular space invasion
Present 50-70%
Absent 90%

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Last modified on 25 October 1996