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目的 结合文献报道 ,探讨原发性输卵管癌的诊断及治疗方法。方法 3 5例均采用手术治疗 ,其中 3 1例术前或术后辅以化疗 ,10例术后加用体外放疗。根据随访结果及治疗经验进行回顾性分析总结。结果 术后 5a生存率Ⅰ、Ⅱ期为 89 5 % ,Ⅲ期为 3 3 3 % ,Ⅳ期为 0。总 5a生存率为 4 8 3 %。术后随访时间未足 5a者 6例均生存。结论 原发性输卵管癌发病率呈轻微上升趋势 ,血清CA12 5放免测定对本病的术前诊断、术后疗效观察及复发的早期监测有较大的临床价值。采用以手术为主 ,术后辅以盆腹腔区域及全身多种抗癌药物联合化疗和放疗的综合治疗对早期患者疗效显著 ,早期病例无须行腹膜后淋巴结切除
Objective Combined with the literature, to explore the diagnosis and treatment of primary fallopian tube cancer. Methods All 35 cases were treated by surgery, including 31 cases of preoperative or postoperative adjuvant chemotherapy, 10 cases of postoperative plus external radiotherapy. According to the follow-up results and treatment experience retrospectively analyzed and summarized. Results The postoperative survival rate of 5a was 89.5% in stage I, 33.3% in stage III and 0 in stage IV. Total 5a survival rate was 483%. Postoperative follow-up time was less than 5 cases of 6 patients were alive. Conclusions The incidence of primary fallopian tube cancer shows a slight upward trend. Serum CA12 5 radioimmunoassay has great clinical value for preoperative diagnosis, postoperative efficacy observation and early detection of recurrence. The use of surgery mainly combined with pelvic peritoneal area and the body after a variety of anti-cancer drugs combined with chemotherapy and radiotherapy comprehensive treatment of early patients with significant effect in early cases without retroperitoneal lymph node dissection