卵巢癌由于缺乏真正的早期症状,因此53%的病例一直等到发展成Ⅲ及Ⅳ期时才来治疗。这类病例的五年生存率不到10%。在维也纳大学妇科医院3年半期间共有15例属于Ⅲ、Ⅳ期初次无法切除的晚期病例,经同时放射及化学疗法后进行了二次手术。关于放射及化学疗法以及复查的方法在文中作了详尽的介绍。全部病例均见肿瘤明显缩小及分界清楚,作者认为这是施行二次手术的先决条件。第一次手术和二次手术的间隔时间平均为3、5个月(2～7个月)。在15例中14例有范围大小不等的肉眼可见的肿瘤组织,12例进行了内生殖器的全部切除,2例肿块切除,在残存的肿瘤组织上用银夹标记,有1例则无法切除。二次手术的方式和范围以及组织学诊断作者均以表格列出。并发症有1例部分肠梗阻,1例伤口二次愈 Ovarian cancer due to the lack of real early symptoms, so 53% of the cases have not reached wait until the development of stage III and IV before treatment. The five-year survival rate of these cases is less than 10%. During the three-and-a-half-year period at the University of Vienna’s Gynecology Hospital, a total of 15 advanced patients with unresectable stage III and IV tumors underwent secondary surgery after concurrent radiotherapy and chemotherapy. The methods of radiation and chemotherapy and review are described in detail in this article. All cases were significantly reduced tumor and clear boundaries, the authors believe that this is the implementation of the second preoperative conditions. The average time between first and second surgery was 3,5 months (2 to 7 months). Of the 15 cases, 14 had macroscopic tumor tissue ranging in size, 12 had undergone total excision of the internal genitalia, 2 had lumpectomy, and were marked with silver clip on the remaining tumor tissue. One case was unresectable . The modalities and scope of the second surgery and the authors of the histological diagnosis are tabulated. One case of complications of intestinal obstruction, the second case of wound healing