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以腹腔内播散为主要转移途径的特征,决定了晚期卵巢癌的病程进展,最终以腹腔内脏器广泛受累为结局。其播散范围包括横膈、肝表面、胃、十二指肠、小肠、结直肠、大网膜及盆腔内生殖器,其中以胃肠道受累最为显著。晚期卵巢癌常见症状或并发症及主要的死亡原因有肠梗阻、感染、发热、疼痛、输尿管梗阻及肾功能衰竭等,几乎没有患者不伴腹腔内脏器受累而死亡。
The characteristics of intra-abdominal dissemination as the main metastatic route determines the progression of advanced ovarian cancer, and eventually results in extensive involvement of intra-abdominal organs. Its dissemination range includes diaphragm, liver surface, stomach, duodenum, small intestine, colorectal, greater omentum, and pelvic genitalia, with the most significant involvement of the gastrointestinal tract. The common symptoms or complications of advanced ovarian cancer and the main causes of death are intestinal obstruction, infection, fever, pain, ureteral obstruction and renal failure, etc. Almost no patient died without involvement of intra-abdominal organs.