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1986年至1989年,我院为83例原发性卵巢恶性肿瘤作肿瘤切除的同时行大网膜切除。本文回顾性总结分析原发性卵巢恶性肿瘤大网膜转移与分期,病理类型、腹膜后淋巴结转移的关系。 临床资料 本组已婚7例,未婚7例,年龄最小11岁,最大67岁,平均44岁。 根据FlGO分期,Ⅰ期33例(39.75%),Ⅱ期7例(8.4%),Ⅲ期24例(28.9)%,Ⅳ期19例(22.9%)。病理类型:上皮性肿瘤57例(68.67%),生殖细胞肿瘤15例(18.07%),性索间质肿瘤11例(13.25%)。 全部病例除肿瘤切除外均作大网膜切除,其中34例同时行盆腔和腹主动脉旁淋巴结清扫或活检。清扫高度达主动脉分叉上5cm。
1986 to 1989, our hospital for 83 cases of primary ovarian cancer for tumor resection at the same time omental resection. This article retrospectively summarizes the analysis of primary ovarian cancer omentum metastasis and staging, pathological type, retroperitoneal lymph node metastasis. Clinical data The group was married in 7 cases, 7 were unmarried, the youngest 11 years old, maximum 67 years old, average 44 years old. According to the FlGO stage, 33 cases (39.75%) were in stage I, 7 cases (8.4%) in stage II, 24 cases (28.9%) in stage III and 19 cases (22.9%) in stage IV. Pathological types: epithelial tumors in 57 cases (68.67%), germ cell tumors in 15 cases (18.07%), sex cord stromal tumors in 11 cases (13.25%). All cases except for tumor resection were made omental resection, of which 34 cases of pelvic and abdominal aortic lymph node dissection or biopsy at the same time. Sweep up to 5cm above the bifurcation of the aorta.