论文部分内容阅读
目的 探讨I期上皮性卵巢癌的规范化诊断与治疗。方法 对 14 6例上皮性卵巢癌进行回顾性分析 ,全部手术标本均经病理检查证实。结果 1980年 1月～ 2 0 0 2年 6月 ,共收治上皮性卵巢癌 14 6例 ,其中I期癌 3 2例 ,占 2 1 92 % ,平均发病年龄45 3 2岁。初诊症状以自行触及肿物、腹胀、腹痛及压迫症状为前 4位就诊原因。除 3例未在本院手术外 ,其余都在本院手术和化疗。治疗结果 3 2例I期癌中失访者 4例 ,3例死于其它疾病 ,5例复发 ,3例死亡 ,5年生存率 92 87% ,10年生存率 83 90 %。结论 早期与晚期卵巢癌的预后有明显的差别 ,如果对卵巢癌能作出早期诊断及规范化治疗 ,可提高生存率。
Objective To investigate the standardization diagnosis and treatment of stage I epithelial ovarian cancer. Methods A retrospective analysis was performed on 146 cases of epithelial ovarian cancer. All the surgical specimens were confirmed by pathological examination. Results From January 1980 to June 2002, 14 cases of epithelial ovarian cancer were treated, including 32 cases of stage I carcinoma (2192%) with an average age of onset of 45.32 years. First visit symptoms to touch the tumor itself, abdominal distension, abdominal pain and oppression symptoms for the first 4 reasons for treatment. In addition to three cases not in our hospital surgery, the rest are in our hospital surgery and chemotherapy. Treatment outcome 3 2 cases of I cancer were lost in 4 cases, 3 died of other diseases, 5 cases of recurrence, 3 deaths, 5-year survival rate 92 87%, 10-year survival rate 83 90%. Conclusions The prognosis of early and late ovarian cancer is obviously different. If the ovarian cancer can make early diagnosis and standardized treatment, it can improve the survival rate.