摘要
目的探讨胃肠道来源的转移性卵巢癌的诊断及治疗措施。方法对53例胃肠道来源的转移性卵巢癌病人的临床资料进行回顾性分析。结果53例病人的平均发病年龄为45.2岁,绝经前妇女43例,占81.13%;来源于胃癌者39例,占73.58%。首发的主要临床症状为腹胀、腹痛及下腹部包块;病理类型以印戒细胞癌为主者27例,占50.94%;侵及双侧卵巢者41例,占77.35%。手术治疗后辅以化疗病人的0.5、1.0、2.0年生存率高于术后非化疗病人,差异均有显著性(2χ=4.100,P<0.05;P=0.002、0.000)。结论胃肠道来源的转移性卵巢癌预后较差,早期诊断及积极进行以手术为主的综合治疗有望改善病人的生存率和生存质量。
Objective To study the diagnosis and treatment of ovarian metastases from gastrointestinal cancer. Methods A retrospective study in 53 patients with ovarian metastases from gastrointestinal malignancies was done. Results The mean age of patients was 45.2 years; 43 （81.13%） of them were premenopasual, 39 （73.58%） from gastric cancer. Chief symptoms were abdominal distension, stomachache and mass in hypogastric zone. Pathologically, signet-ring cell carcinoma was the main type, accounting for 27 cases （50.94%0） ; both ovaries were involved in 41 （77.35%）. The 0. 5, 1, and 2-year survival rates of the patients received post-operative chemotherapy were higher than those without. Conclusion The prognosis of ovarian metastases from gastrointestinal malignancies is poor. An early diagnosis and surgery is hopefully to improve the survival and quality of life.
出处
《齐鲁医学杂志》
2008年第2期107-109,共3页
Medical Journal of Qilu
关键词
卵巢肿瘤
肿瘤转移
胃肠肿瘤
诊断
治疗
Ovarian neoplasms
Neoplasm metastasis
Gastrointestinal neoplasms
Diagnosis
Therapy
