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目的:探讨卵巢转移癌的临床病理特征。方法:回顾分析我院2006年1月至2012年12月间卵巢转移癌272例的临床病理资料和随访资料。结果:原发灶来自胃肠道占85.3%,除24例卵巢转移癌为首发肿瘤外,其余病例均有卵巢外播散。行原发癌手术切除者平均生存时间18.8月,未切除者仅6.6月。转移瘤大小为4.0~30.0cm。组织结构经典型、小管型、硬化型和混合型分别占83.1%、8.1%、5.9%、2.9%。结论:卵巢转移瘤多数源自胃肠道,组织学以经典印戒细胞为主,行原发癌切除平均生存时间明显大于未切除者。
Objective: To investigate the clinicopathological features of metastatic ovarian cancer. Methods: A retrospective analysis of our hospital from January 2006 to December 2012 ovarian metastatic cancer in 272 cases of clinical and pathological data and follow-up data. Results: The primary tumor from the gastrointestinal tract accounted for 85.3%, except for 24 cases of ovarian metastasis as the first tumor, the remaining cases were ovarian disseminated. The average survival time of primary cancer resection 18.8 months, only 6.0 months without resection. Metastasis size of 4.0 ~ 30.0cm. The organizational structure of the classic, small tube, sclerosis and hybrid accounted for 83.1%, 8.1%, 5.9%, 2.9%. Conclusion: The majority of ovarian metastases originate from the gastrointestinal tract. The histological features are mainly of classic signet ring cells. The mean survival time of resected primary cancers was significantly longer than that of patients without resection.