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| 16例卵巢外腹膜浆液性乳头状癌临床分析 | |
| 引用本文： | 张媛,杨元先. 16例卵巢外腹膜浆液性乳头状癌临床分析[J]. 华中科技大学学报(医学版), 2004, 33(3): 379-381 |
| 作者姓名： | 张媛 杨元先 |
| 作者单位： | 华中科技大学同济医学院附属协和医院妇产科,武汉,430022 |
| 摘 要： | 目的 探讨卵巢外腹膜浆液性乳头状癌(EPSPC)的临床特点、诊断及鉴别诊断、组织学来源、治疗和预后。方法 对协和医院1996年到2003年收治的16例术后诊断为卵巢外腹膜浆液性乳头状癌患者的临床资料进行回顾性分析。结果 除1例放弃治疗外，余15例患者均施行了肿瘤细胞减灭术，术中腹腔放置卡铂，术后PAC方案化疗。9例患者已死亡，生存期6个月到36个月不等。平均存活期为19个月，4例仍在化疗中，2例失去随访。结论 EPSPC为来源于第二苗勒氏系统的恶性肿瘤，发病率低，误诊率高，预后差。 |
| 关 键 词： | 卵巢外腹膜浆液性乳头状癌 治疗 患者 临床分析 化疗 预后 术后诊断 PAC 施行 目的 |
| 修稿时间： | 2003-12-25 |
Extraovarian Peritoneal Seaous Papillary Carcinoma:A Clinicopathologic Analysis of 16 Cases |
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| Zhang Yuan,Yang Yuanxian. Extraovarian Peritoneal Seaous Papillary Carcinoma:A Clinicopathologic Analysis of 16 Cases[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2004, 33(3): 379-381 | |
| Authors: | Zhang Yuan Yang Yuanxian |
| Affiliation: | Zhang Yuan,Yang Yuanxian Department of Obstetrics and Gynecology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022 |
| Abstract: | Objective To investigate the clinical features, diagnosis, histogenesis features, treatment and prognosis of extraovarian peritoneal seaous papillary carcinoma (EPSPC).Methods Sixteen cases of EPSPC treated in our hospital from 1996 to 2003 were analyzed respectively. Results Of the 16 cases of EPSPC, 15 cases were subjected to cytoreductive surgery followed by systemic chemotherapy of PAC regimen except that one case abandoned treatment. Nine cases were died and the mean survival time was 19 months. Conclusion The pathohistogenicity of EPSPC was from the methothelium of peritoneum called the second Mullarian system. The incidence of this disease is low and the mortality is high. |
| Keywords: | extraovarian peritoneal seaous papillary carcinoma peritoneal neoplasms ovarian tumor |
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