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从1979年1月至1990年8月 Kyushu 大学医院收治卵巢癌病人280例中,收集34例(12. 1％)纯透明细胞癌的病人进行临床病理分析。按 FIGO 标准分期,Ⅰ期22例、Ⅱ期5例、Ⅲ期6例、Ⅳ期1例。平均年龄51. 6岁(34～78岁),59％为绝经后妇女,9％为围绝经妇女。未妊娠者占38％,未生育者为42％,6例(18％)有不孕史。均未应用过激素。最常见的症状为腹部包块或腹部长大,其次有腹痛,不典型阴道流血及痛经等。32例行单纯子宫切除,双附件、大网膜切除,或加阑尾切除,2例行单侧附件切除。27例行主动脉旁淋巴结活检,18例行盆腔淋巴结切除或活检。
From January 1979 to August 1990, 280 patients with ovarian cancer at Kyushu University Hospital were collected, and 34 patients (12. 1%) with clear cell carcinoma were collected for clinicopathological analysis. According to FIGO standard staging, Ⅰ in 22 cases, Ⅱ in 5 cases, Ⅲ in 6 cases, Ⅳ in 1 case. The average age was 51. 6 years (34 to 78 years), 59% were postmenopausal women and 9% were perimenopausal women. 38% did not have pregnancy, 42% did not have childbirth, 6 cases (18%) had infertility history. No hormones were applied. The most common symptoms of abdominal mass or abdominal growth, followed by abdominal pain, atypical vaginal bleeding and dysmenorrhea. 32 cases of simple hysterectomy, double attachment, omental resection, or plus appendectomy, 2 cases of unilateral excision. 27 cases of aortic lymph node biopsy, 18 cases of pelvic lymph node dissection or biopsy.