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目的探讨卵巢癌肉瘤的临床病理特点、治疗及预后因素。方法回顾性分析我院近年诊治的4例卵巢癌肉瘤的临床资料,并复习相关文献。结果 4例患者均进行了满意的肿瘤细胞减灭术,术后辅以铂类为基础的联合化疗,随访时间3~12个月,3例无瘤生存,1例带瘤生存。结论卵巢癌肉瘤恶性程度高,预后差,理想的肿瘤细胞减灭术,辅以铂类为基础的化疗,可能提高生存率。
Objective To investigate the clinicopathological characteristics, treatment and prognosis of ovarian carcinosarcoma. Methods The clinical data of 4 cases of ovarian carcinosarcoma diagnosed and treated in our hospital were retrospectively reviewed and the related literatures were reviewed. Results All 4 patients underwent satisfactory cytoreductive surgery. Postoperatively, they were treated with platinum-based combination chemotherapy. The follow-up time ranged from 3 to 12 months. Three patients survived without tumor and one patient with tumor survived. Conclusion Ovarian carcinoid sarcoma with high malignant degree and poor prognosis, the ideal cytoreductive surgery combined with platinum-based chemotherapy, may improve the survival rate.