大肠癌卵巢转移的外科治疗和预后

目的探讨大肠癌卵巢转移的治疗.方法回顾性分析大肠癌卵巢转移患者73例临床资料.结果大肠癌卵巢转移好发于绝经前患者,临床分期以Dukes C期为多,预后较无卵巢转移者差.结论对于同时有卵巢转移应行大肠癌根治术 子宫及双侧附件切除术;绝经后的患者可行预防性卵巢切除术;绝经前患者则采取个体化原则.所有患者术后应进行综合治疗.

Surgical treatment and prognosis of ovarian metastasis from colorectal carcinoma

Objective: To discuss the surgical treatment and prognosis of ovarian metastasis from colorectal carcinoma. Methods: The clinical data of 73 cases in colorectal carcinoma with ovarian metastasis between 1987~1999 were analyzed retrospectively. Results: The patients before menostasis are easy to occur the ovarian metastasis from colorectal carcinoma. Their clinic stages are Dukes C or up, and the prognosis are poorer then the non- ovarian metastasis. Conclusions: Patients with ovarian metastasis should undergo radical operation of colorectal carcinoma, and plus oophorohysterectomy, patients of after menostasis may undergo ovariotomy of preventing, Patients before menostasisshould take the principle of individuality, all patients must treat in synthesis after operation.