摘要
目的了解子宫内膜癌卵巢转移的临床特点及有关因素对预后的影响。方法回顾性分析自１９５８年至１９９５年经我院手术证实的２２例子宫内膜癌卵巢转移的临床资料。结果平均年龄５０．６岁，临床Ⅰ期１０例，Ⅱ期和Ⅲ期各６例，卵巢转移率为４．４％（２２／４９５）。治疗方式以手术加放疗为主，５年和１０年存活率分别为６１．５％和５５．９％。结论子宫内膜癌卵巢转移预后不良，术后应主动给予辅助治疗。对年轻的早期患者，是否保留卵巢应持审慎态度。
Objective To study the clinical characteristics of ovarian metastasis from endometrial carcinoma and its relation to pathologic features and prognosis.Methods Twenty two cases of histologically confirmed ovarian metastasis from endometrial carcinoma were retrospectively reviewed. Prognostic factors such as clinical staging, grade, myometrial infiltration, recurrence and treatment methods were analyzed.Results The median age of this series was 50.6. Incidence of ovarian metastasis accounted for 4.4% in the same period. Ten out of 22 cases were in clinical stage Ⅰ, 6 in stage Ⅱ, and 6 in stage Ⅲ. The treatment of choice was operation combined with radiotherapy. The overal 5 and 10 year survival rate was 61.5 and 55.9%, respectively. Conculsion Ovarian metastasis from endometrial carcinoma is associated with poor prognosis. Aggressive treatment after operation is required. For young patients in early stage of the disease, circumscript attitude should be taken as to preserve the ovary or not.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1998年第1期65-67,共3页
Chinese Journal of Oncology
关键词
子宫肿瘤
卵巢肿瘤
放射疗法
卵巢转移
Uterine neoplasms Ovarian neoplasms/surgery Ovarian neoplasms/radiotherapy Ovarian neoplasms/drug therapy Prognosis
