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目的 探讨直肠癌卵巢转移的治疗方法。方法 分析 1993～ 1997年 2 4例直肠癌卵巢转移临床资料。结果 直肠癌卵巢转移好发于年青女性 ,以双侧多见 ,原发灶大多为低分化腺癌或粘液腺癌 ,多侵犯浆膜 ,临床分期多为DukesC期以上 ,发生卵巢转移者预后较差。结论 女性直肠癌患者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 ,并采用以手术为主的综合治疗 ,对无卵巢转移者是否预防性切除卵巢应采取个体化原则
Objective To investigate the treatment of ovarian cancer in rectal cancer. Methods Clinical data of 24 cases of rectal cancer ovarian metastasis from 1993 to 1997 were analyzed. Results Ovarian metastasis of rectal cancer occurred mainly in young women. Most of the lesions were bilateral. The primary tumors were mostly poorly differentiated adenocarcinoma or mucinous adenocarcinoma. They invaded the serosa. The clinical staging was mostly above Dukes C, and the prognosis of ovarian metastasis was higher. difference. Conclusions The patients with female rectal cancer should pay attention to whether there is ovarian metastasis. For patients with ovarian metastasis, the uterus and bilateral appendages should be removed together with radical resection of the primary tumor, and a comprehensive treatment based on surgery should be used. There is no ovarian metastasis. Whether the preventive excision of the ovaries should be individualized