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目的探讨转移性卵巢癌(MOC)的临床病理特点、治疗及其预后因素。方法回顾性分析24例MOC的临床资料及其病理特点。结果 24例患者病史中胃癌来源MOC 15例(62.5%),非胃癌来源MOC 9例(37.5%)。临床症状以腹胀和腹痛最常见(13例,54.2%),单侧卵巢转移多见(14例,58.3%)。病理类型以中低分化腺癌为主(13例,54.2%)。治疗以手术联合化疗为主(19例,79.2%),总体2年生存率为4.2%。结论 MOC多来源于胃癌,单侧卵巢转移多见,病理类型多为中低分化腺癌,临床预后较差。
Objective To investigate the clinicopathological features, treatment and prognostic factors of metastatic ovarian cancer (MOC). Methods Retrospective analysis of 24 cases of MOC clinical data and pathological features. Results Among the 24 cases, 15 cases (62.5%) had MOC originated from gastric cancer and 9 cases (37.5%) had MOC from non-gastric cancer. The most common clinical symptoms were bloating and abdominal pain (13 cases, 54.2%) and unilateral ovarian metastasis (14 cases, 58.3%). Pathological type of low-grade adenocarcinoma mainly (13 cases, 54.2%). The main combination of chemotherapy and chemotherapy (19 cases, 79.2%), the overall 2-year survival rate was 4.2%. Conclusion MOC mostly originated from gastric cancer. Unilateral ovarian metastasis was common, and the pathological type was mostly moderate to poorly differentiated adenocarcinoma. The clinical prognosis was poor.