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卵巢克鲁肯勃氏瘤是卵巢的恶性转移瘤,恶性度极高,较罕见。我院自1965～1979年15年共收治本病患者18例,占同期妇科恶性肿瘤的1.6%,占卵巢癌的11.7%。发病年龄为27～53岁,平均40.9岁。临床症状:腹部肿块16例,腹痛10例,其他有消化道症状8例,有腹水7例。妇检可触及8×5×5～20×16×8cm大小不等包块,实质性,多呈肾形。双侧性者17例(占94%),单侧仅1例。并发扭转2例。18例中找到原发病灶者仅7例(37%)。原发病灶分别为胃癌5例,盲肠癌及乙状结肠癌各1例。本病的治疗,一般主张原发灶与转移灶应同时切除或先后切除。本文除1例单纯化疗外,17例手术切除,其中10例并进行了化疗。5例原发灶在妇科手术前已切除。17例手术切除标本镜检均可见弥漫性或成团的印戒腺癌细胞。
Ovarian Kluuvor Breast tumor is a malignant ovarian metastasis, extremely high grade, rarer. Our hospital from 1965 to 1979, 15 years, a total of 18 cases of patients with this disease, accounting for 1.6% of gynecological malignancies over the same period, accounting for 11.7% of ovarian cancer. The age of onset was 27 to 53 years old, with an average of 40.9 years. Clinical symptoms: 16 cases of abdominal mass, abdominal pain in 10 cases, other gastrointestinal symptoms in 8 cases, ascites in 7 cases. Fujian can reach 8 × 5 × 5 ~ 20 × 16 × 8cm sizes ranging from mass, mostly kidney-shaped. Bilaterality in 17 cases (94%), unilateral only 1 case. Concurrent torsion in 2 cases. Only seven cases (37%) found primary lesions in 18 cases. Primary lesions were 5 cases of gastric cancer, cecal cancer and sigmoid colon cancer in 1 case. The treatment of this disease, the general advocate that the primary tumor and metastasis should be removed at the same time or have cut. In addition to a simple chemotherapy in this article, 17 cases were surgically removed, of which 10 cases were treated with chemotherapy. 5 cases of primary lesions have been removed before gynecological surgery. 17 cases of surgical specimens were microscopic disseminated or lump-like signet ring cancer cells.