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40例原发性卵巢上皮性细胞癌,均在本院首次手术并经病理证实。按FIGO分期法,Ⅰ期11例、Ⅱ期2例、Ⅲ期19例、Ⅳ期8例。37例术后随诊1~7a,除6例Ⅰ期患者术后仅3~4a外,存活>5a者10例,5a存活率占32%。治疗以手术为主,辅以化疗。探讨了卵巢上皮性细胞癌的临床分期、癌细胞分化程度、治疗与预后的关系。提出化疗不仅可以延长生存时间,对部分患者术前应用1~2疗程化疗,还可以降低手术的困难程度。
40 cases of primary ovarian epithelial cell carcinoma, were in our hospital for the first time and confirmed by pathology. According to FIGO staging method, 11 cases were stage Ⅰ, 2 cases were stage Ⅱ, 19 cases were stage Ⅲ and 8 cases were stage Ⅳ. Thirty-seven patients were followed up for 1 to 7 years. Except for 6 cases of stage I patients, only 3 to 4 days after operation, 10 patients survived> 5a and the survival rate of 5a was 32%. The main treatment is surgery, supplemented by chemotherapy. To investigate the clinical stage of ovarian epithelial cell carcinoma, the degree of cancer cell differentiation, the relationship between treatment and prognosis. The proposed chemotherapy can not only extend the survival time, some patients preoperative application of 1 to 2 courses of chemotherapy, but also can reduce the difficulty of surgery.