摘要
目的：探讨女性直肠癌卵巢转移的特点及手术方式的选择。方法：回顾性分析1990年-2000年，我院收治病理确诊为女性直肠癌卵巢转移36例病人的临床病理资料。结果：女性直肠癌卵巢转移多发生于中青年。绝经前；双侧多见，原发灶主要位于直肠中上段，多为粘液腺癌、粘液细胞癌与低分化腺癌，浸润多达T3～T4，临床分期以DukesB、C期居多。21例治愈性切除者5年生存率19％（4／21），平均生存（从发现肿瘤算起）46．2个月，不能切除者平均生存8．1个月。结论：对于女性直肠癌应注意有无卵巢转移，对有卵巢转移者应争取治愈性切除，包括直肠原发灶与转移灶、子宫、双附件切除的联合后盆脏器切除，以提高长期生存率；对于无卵巢转移者是否预防性双侧卵巢切除应采取个体化原则。
Objective： To investigate the clinicopathologic features and surgical treatment of metastatic ovarian carcinoma from rectal cancer. Methods： The clinicopathologic data of 36 cases with metastatic ovarian carcinoma from the rectal cancer between 1990 - 2000 were studied retrospectively. Results： The metastatic ovarian carcinoma from the rectal cancer was often found bilateral, especially in premenopausal stage, low- differentiated or ring- cell adenocarcinoma, and tumors at advanced stage prone to metastasize to ovary. The rate of 5 - year survival of 21 cases underwent radical surgical treatment was 19% （4/21）. The average survival time of the curable group and unresected group was 46.2 and 8. lmonths, respectively. Conclusion： It was mandatory to inspect the ovary during laparotomy of female rectal cancer. Patients with metastatic ovarian carcinoma should undergo additional uterectomy plus bilateral oophorectomy.
出处
《华西医学》
CAS
2006年第3期447-448,共2页
West China Medical Journal
关键词
直肠癌
卵巢转移
手术
rectal cancer
ovarian metastases
surgical treatment
