论文部分内容阅读
目的分析妊娠合并卵巢癌的临床特点及预后,探讨合理的诊疗方案。方法回顾分析首都医科大学附属北京妇产医院2010年1月至2015年5月期间收治妊娠合并卵巢癌患者临床资料。结果妊娠合并卵巢癌患者6例,发病率0.080 6/100 0妊娠。其中上皮潜在低度恶性肿瘤3例,上皮恶性肿瘤2例,性索间质肿瘤1例。ⅠA期4例,ⅢC期2例。4例行保守性手术治疗,1例行卵巢癌分期手术,1例行肿瘤细胞减灭术,2例术后补充PT方案化疗。共出生新生儿5例,无窒息等不良结局。结论妊娠合并卵巢癌,发病率低,恶性程度偏低,期别偏早,随产前检查日益完善,对其发现早,个体化治疗,预后较好。
Objective To analyze the clinical features and prognosis of pregnancy complicated with ovarian cancer and to explore a reasonable diagnosis and treatment plan. Methods The clinical data of patients with pregnancy complicated with ovarian cancer who were admitted to Beijing Maternity Hospital Affiliated to Capital Medical University from January 2010 to May 2015 were retrospectively analyzed. Results 6 cases of pregnancy with ovarian cancer, the incidence of 0.080 6/100 0 pregnancy. Among them, 3 were potential low grade epithelial malignant tumors, 2 were epithelial malignant tumors and 1 was interstitial mesenchymal tumor. Ⅰ A 4 cases, Ⅲ C 2 cases. 4 routine conservative surgery, 1 case of ovarian cancer staging surgery, 1 case of cytoreductive surgery, 2 cases of postoperative PT regimen chemotherapy. A total of 5 newborns were born, no asphyxia and other adverse outcomes. Conclusions Pregnancy complicated with ovarian cancer has a low morbidity and low malignant degree. The period is earlier and with the perfection of prenatal examination, it is found that early pregnancy and individualized treatment have a good prognosis.