摘要
本文回顾分析Ⅰ、Ⅱ期宫颈癌根治术所切除之卵巢，发现卵巢转移率为２／３００（０．６％），均为Ⅱｂ期病人。鳞癌、腺癌各１例，转移率鳞癌为１／２６８例（０．３７％），腺癌为１／２２例（４．５５％）。两例均有盆腔淋巴结转移，其中一例腺癌有宫体浸润。资料表明卵巢转移率腺癌明显高于鳞癌。我们认为宫体浸润或／和盆腔淋巴结转移是发生卵巢转移的危险因素。在行宫颈癌根治术时保留卵巢，对鳞癌病人是较安全的，但对腺癌病人因卵巢转移的发生率较高应慎重。
Three hundred sixty cases of cervical carcinoma with FIGO stage Ⅰ b. Ⅱ a. Ⅱ bwere treated with radical hysterectomy from 1988-1994. of these, 300 cases couldbe pathologically reviewed for ovarian metastasis. Only 2 (0. 67%) of 300 showedovarian metastasis. These 2 (2/30) cases all were stage Ⅱ b. One of the 268 squamous cell carcionmas metasasized to the ovary, whereas 1 of 22 pure adeno carcinmas revealed ovarian metastasis. Tow cases all showed pelvic lymph node metastases. One case showed corpus invasion. In the patients of ovarian metastasis, therate of the adenocarcinoma of ovarian is higher than sequmous carcinoma. We believe, corpus invasion and/or lymphatic spread may be one of the risk factors of theovarian metastasis, it is fairly safe to preserve the ovary at the time of radical operation in squamous cervical carcinoma, but it may be not sate to preserve the ovaryin pure adenocarcinoma of the cervix.
出处
《肿瘤防治研究》
CAS
CSCD
北大核心
1996年第1期43-44,共2页
Cancer Research on Prevention and Treatment
关键词
宫颈癌
肿瘤转移
卵巢转移
cervical carcinoma
ovarian metastasis.
