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目的:探讨卵巢转移胃癌的临床、病理特征。方法: 对1983~1993 年10a 间天津肿瘤医院手术治疗的460 例女性胃癌中以卵巢为唯一转移脏器的胃癌29 例, 临床病理及化疗结果进行分析。结果:29 例均为绝经前期,平均年龄为40.2 岁, 以卵巢转移灶为首发症状或体征的为21 例(占72.4% ),病理卵巢转移灶多为被膜完整切面半透明胶冻样,胃癌大体分型Borrm ann3 型多见,印戒细胞癌占65% ,69% 呈弥漫性生长,1、3、5 年的生存率分别为80% ,41% 和14% 。结论:伴卵巢转移的胃癌是一种特殊类型的胃癌,多发生在绝经期前,手术加系统化疗可改善预后
Objective: To investigate the clinical and pathological features of ovarian metastatic gastric cancer. Methods: Totally 29 cases of gastric cancer with ovary as the only metastatic organ in 460 female gastric cancer patients who underwent surgery in Tianjin Tumor Hospital from 1983 to 1993 were analyzed. The clinical, pathological and chemotherapy results were analyzed. Results: All of the 29 cases were premenopausal and the average age was 40.2 years. Twenty-one cases (72.4%) had ovarian metastasis as the first symptom or symptom. Most of the pathological ovarian metastases were transmembrane Frozen samples, gastric cancer general type Borrm ann3 type more common, signet ring cell carcinoma of the 65%, 69% were diffuse growth, 1, 3, 5 year survival rates were 80%, 41% and 14%. Conclusions: Gastric cancer with ovarian metastasis is a special type of gastric cancer that occurs mostly before menopause. Surgery combined with systemic chemotherapy can improve prognosis