| 胃肠道来源转移性卵巢癌的诊断及治疗探讨 |
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| 引用本文： | 李莉,郑烨,王蕾,崔竹梅.胃肠道来源转移性卵巢癌的诊断及治疗探讨[J].康复与疗养杂志,2008(2):107-109. |
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| 作者姓名： | 李莉 郑烨 王蕾 崔竹梅 |
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| 作者单位： | 青岛大学医学院附属医院妇产科,山东青岛266003 |
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| 摘 要： | 目的探讨胃肠道来源的转移性卵巢癌的诊断及治疗措施。方法对53例胃肠道来源的转移性卵巢癌病人的临床资料进行回顾性分析。结果53例病人的平均发病年龄为45．2岁，绝经前妇女43例，占81．13％；来源于胃癌者39例，占73．58％。首发的主要临床症状为腹胀、腹痛及下腹部包块；病理类型以印戒细胞癌为主者27例，占50．94％；侵及双侧卵巢者41例，占77．35％。手术治疗后辅以化疗病人的0．5、1．0、2．0年生存率高于术后非化疗病人，差异均有显著性（x^2=4．100，P〈0．05；P=0．002、0．000）。结论胃肠道来源的转移性卵巢癌预后较差，早期诊断及积极进行以手术为主的综合治疗有望改善病人的生存率和生存质量。
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| 关 键 词： | 卵巢肿瘤 肿瘤转移 胃肠肿瘤 诊断 治疗 |
METASTATIC OVARIAN TUMORS FROM GASTROINTESTINAL NEOPLASMS： DIAGNOSIS AND TREATMENT |
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| Institution: | LI LI, ZHENG YE, WANG LEI, et al (Department of Gynecology and Obstetrics, The Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, China) |
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| Abstract: | Objective To study the diagnosis and treatment of ovarian metastases from gastrointestinal cancer. Methods A retrospective study in 53 patients with ovarian metastases from gastrointestinal malignancies was done. Results The mean age of patients was 45.2 years; 43 （81.13%） of them were premenopasual, 39 （73.58%） from gastric cancer. Chief symptoms were abdominal distension, stomachache and mass in hypogastric zone. Pathologically, signet-ring cell carcinoma was the main type, accounting for 27 cases （50.94%0） ; both ovaries were involved in 41 （77.35%）. The 0. 5, 1, and 2-year survival rates of the patients received post-operative chemotherapy were higher than those without. Conclusion The prognosis of ovarian metastases from gastrointestinal malignancies is poor. An early diagnosis and surgery is hopefully to improve the survival and quality of life. |
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| Keywords: | Ovarian neoplasms Neoplasm metastasis Gastrointestinal neoplasms Diagnosis Therapy |
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