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目的 :评价胃肠道癌 (胃癌及结直肠癌 )卵巢转移的发病年龄、卵巢转移癌的常见原发部位及治愈性切除的疗效。方法 :对我院 1989～ 1999年收治的胃肠道癌卵巢转移 16例进行回顾性分析。结果 :胃肠道癌卵巢转移发生率为 2 37% ,平均发病年龄为 39 0岁 ,卵巢转移癌 16例原发癌在胃肠道 (84 2 % )。胃肠道癌卵巢转移 16例平均生存期 11个月 ,10例行治愈性切除 ,平均生存期 15个月 ,明显高于 6例非治愈性切除的平均生存期 (4个月 )。结论 :胃肠道癌卵巢转移并不多见 ,其转移率存在较大差异 ,发病年龄多在绝经前 (P <0 0 5 )。胃肠道癌卵巢转移预后不良 ,治愈性切除可明显改善预后。绝经前胃肠道癌行预防性卵巢切除应慎重考虑 ,还需进一步探讨和研究
Objective: To evaluate the age of onset of ovarian metastases in gastrointestinal cancer (gastric cancer and colorectal cancer), the common primary site of metastatic ovarian cancer, and the curative effect of curative resection. Methods : Retrospective analysis of 16 cases of gastrointestinal metastasis of gastrointestinal cancer treated in our hospital from 1989 to 1999. Results: The incidence of ovarian metastasis of gastrointestinal cancer was 237%, the average age of onset was 39 0 years old, and 16 cases of ovarian metastases were primary cancers in the gastrointestinal tract (84 2%). Gastrointestinal cancer ovarian metastasis 16 cases of the average survival of 11 months, 10 cases of curative resection, the average survival time of 15 months, significantly higher than the average survival time of six non-curative resection (4 months). Conclusion : Ovarian metastasis of gastrointestinal cancer is rare, its metastasis rate is quite different, and the age of onset is mostly before menopause (P < 0.05). Ovarian metastases of gastrointestinal cancer have poor prognosis, and curative resection can significantly improve the prognosis. Prophylactic ovariectomy for premenopausal gastrointestinal cancer should be carefully considered and further research and study is needed