Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.

子宮頸癌患者の所謂悪液質に関する統計的観察 (岡大婦人科における最近21年間の統計)

更谷 一夫 岡山大学医学部産婦人科教室
平井 栄 岡山大学医学部産婦人科教室
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The authors studied patients of cancer of the uterine cervix treated by radiation duriug 1934 to 1954, in the Gynecoloèical Department of Okayama Univ. Med. Sch., with especial reference to the so-called “cachexia” in carcinoma. The so-called cachexia were 96 cases (4.8%) out of 1, 974 cases in all, and many of them were in their fifties. There were no relation to the delivery, cancer disposition nor to tuberculous history. The so-called cachexia increased in number with progress of cancer, and 81% of them were seen in Stages III & IV. Although, the primary location of cancer had no relation to its frequency, there were many cases with cancerous infiltration in the vaginal wall and 6 cases which were complicated with metastatic Virchow's glands. Most of the cases showed haemograms for example, R. B. C.: less than 2 millions, W. B. C.: more than 9, 000, Haemoglobin: less than 60% Sahli, Sediment test: more than 80 mm an hour. During the radiological treatment they were frequently complicated with primary death during hospitalisation, parametritis, severe hemorrhage, thrombosis and vaginal fistula. Blood tranfusion to such cachectic patients revealed that no serious by-effects were observed, but a febrile reaction was 38.0%. As to the fate of the cachectics it was noted that primary death 15.7%, death cases within 1 year was about 2/3 and that the 5 year survival was 11.4%.