卵巢转移癌

报告50例卵巢转移癌,13例与原发癌作对比病理观察。患者19—65岁,31—50岁占64％。80％原发癌在胃肠道。多累犯双侧卵巢。间质网格状水肿,亦有助于与卵巢原发癌区别。转移癌呈6种不同组织学类型,仅35例见印戒状癌细胞。后者,只见于所有胃肠源性之卵巢转移癌,而不管原发癌中有无此种细胞。组织学分化程度,转移癌比原发癌多明显提高,尤其印戒状癌细胞的体积常特大,更有意义。为澄清对Krukenberg瘤含意的不同理解,建议仅将符合Krukenberg描述的卵巢原发瘤,称为Krukenberg瘤,一切转移到卵巢的癌瘤,不管其形态如何,统称为卵巢转移癌较为合理。

Metastatic Carcinoma in the Ovary

Fifty cases of ovarian metastatic carcinoma are reported. Patient's age ranged from 19 to 65 years with 64% in the group of 31-50 years. Eighty percent of the patients in this series had their primary site in gastrointestinal tract. In a majority both ovaries were involved. Network edema seen in metastatic carcinomas may be of value in distinguishing them from primary ovarian tumor. There were 6 different types of adenocarcinoma seen in this series, nevertheless signet-ring cells observed in 35 of gastrointestinal origin cases. Compared with primary carcinoma, metastatic carcinoma usually presented higher grade of differentiation and bigger signet-ring cells which were important in differential diagnosis. To avoid misunderstanding of Krukenberg's tumor, the author suggests that only tumors bearing the pathologic characteristics conformed with those first described by Krukenberg, can be coined "Krukenberg's tumor". It is, therefore, advisable to name all these tumors as "ovarian metastatic carcinoma".