脑部是上皮性卵巢癌转移的少见部位,但近20年来发生率有所提高。多数患者以头痛症状就诊,诊断依赖于CT或MRI影像学检查。目前尚无一个统一的治疗规范,采取手术和放化疗在内的综合治疗可以使患者受益。特别对于单发脑转移灶者,以手术为主的综合治疗可以改善患者预后。立体定向放疗的应用为该治疗提供了新的前景。该病的预后差,相关预后因素尚有争议,目前一致认为患者一般情况良好和未合并颅外病灶有利于预后。 The brain is a rare site of epithelial ovarian cancer metastasis, but the incidence has increased in the past 20 years. Most patients have headache symptoms and their diagnosis depends on CT or MRI imaging. At present, there is no unified treatment norms, and comprehensive treatment including surgery and radiotherapy and chemotherapy can benefit patients. Especially for single brain metastases, surgery-based comprehensive treatment can improve the prognosis of patients. Stereotactic radiotherapy provides a new prospect for this treatment. The poor prognosis of the disease, the relevant prognostic factors are still controversial, the current consensus that patients generally good and not associated with extracranial lesions prognosis.