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目的 探讨胃肠道癌卵巢转移的临床病理特点、治疗措施和影响预后因素。方法 回顾性分析江西医学院第二附属医院 1980年 1月至 2001年 6月收治的 46例胃肠道癌卵巢转移的临床资料。结果 原发胃癌27例,大肠癌 19例,以双侧卵巢转移多见。原发灶多为低分化腺癌或印戒细胞癌,常侵犯浆膜。临床分期以中晚期居多(Ⅲ期、Ⅳ期胃癌 23例,DukesC、D期大肠癌 13例)。该病预后较差。结论 对于女性胃肠道肿瘤应注意有无卵巢转移,对有卵巢转移者应在根治性切除原发灶的同时一并切除子宫及双侧附件,术后采用综合治疗有助于改善预后。
Objective To investigate the clinicopathological characteristics, treatment and prognostic factors of ovarian metastasis in patients with gastrointestinal cancer. Methods The clinical data of 46 cases of gastrointestinal cancer metastasis from January 1980 to June 2001 in the Second Affiliated Hospital of Jiangxi Medical College were retrospectively analyzed. Results 27 cases of primary gastric cancer, 19 cases of colorectal cancer, with bilateral ovarian metastasis more common. Primary hypoplasia mostly poorly differentiated adenocarcinoma or signet ring cell carcinoma, often invading the serosa. The clinical stage was mostly in the middle and late stages (23 cases of stage Ⅲ and Ⅳ gastric cancer, 13 cases of DukesC and D colon cancer). The prognosis is poor. Conclusion For women with gastrointestinal cancer should pay attention to ovarian metastasis, ovarian metastasis should be radical excision of the primary tumor at the same time with the removal of the uterus and bilateral attachments, postoperative comprehensive treatment will help improve the prognosis.