摘要
目的:探讨原发性腹膜癌(PPC)的临床特点、诊断标准、治疗方法和预后。方法:对1993年1月～2000年12月在本院治疗的27例PPC患者的临床资料进行回顾性分析,其结果均经病理检查证实。结果:27例中,浆液性乳头状腺癌21例,粘液性乳头状腺癌4例,子宫内膜样癌1例,低分化癌1例。全部病例均施行肿瘤细胞减灭术,术后予以铂类为主方案的化疗。27例中3例失访,余24例中位生存期为28个月。结论:PPC原发于腹膜,是一种起病隐袭、发病率较低的疾病。应重视其术前诊断及鉴别诊断,减少误诊率。对PPC采取肿瘤细胞减灭术及铂类为主方案的化疗可显著改善预后,延长生存期。
Objective:To investigate the clinical features,diagnostic criterion,treatment and prognosis of female primary peritoneal carcinoma (PPC).Methods:Twenty-seven cases of histologically confirmed PPC cases treated in our hospital from1993to2000were retrospectively analysed.Results:In this series,21cases were proved as serous papillary adenocarcinoma and the remaining cases were mucous(4cases),endometrioid(1case)and low differentiated carcino-ma (1case).All patients were given cytoreductive surgery and platin-based chemotherapy.Twenty-four patients were followed up and the median survival time reached28months.Con-clusion:PPC is a rare tumor.The initial definite diagnosis is difficult and the attention should be paid to differential diagnosis.The new diagnostic criterion of PPC is mentioned in this arti-cle.Long time survival can be achieved in some patients by cytoreductive surgery and platin-based chemotherapy.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2002年第4期285-288,共4页
Chinese Journal of Clinical Oncology
