复发性卵巢上皮癌60例临床分析

目的研究复发性卵巢上皮癌的病例特点,为完善复发病例的诊治工作提供依据。方法收集本院2004年1月至2008年12月期间治疗的148例各期别的卵巢上皮癌病例的临床资料,均为首诊并接受了满意的肿瘤细胞减灭术以及术后的化疗,随访资料完整。结果 60例复发,复发率为40.5%。不同的组织学类型、手术分期和不同术后残留病灶患者的复发率有显著性差异。结论卵巢上皮癌的复发率与组织学类型、手术分期及术后残留病灶相关。早期诊断治疗和手术的彻底性是减少延缓复发、改善患者预后的关键。对存在复发高危因素的患者应严密随诊,及时发现复发,以免延误治疗影响预后。

Clinical Analysis on 60 Cases of Recurrent Epithelial Ovarian Cancer

Objective To study the characteristics of recurrent ovarian cancer,in order to provide the base to the improvement of its diagnosis and treatment.Method A total of 148 cases of ovarian cancer who were treated in our hospital and received cytoreductive surgery and postoperative chemotherapy from January 2004 to December 2008 were collected and analyzed.Results 60 cases relapsed and the recurrent rate was 40.5%.The recurrence rate was significantly different among the groups of different histology types,different surgery stages and different residual tumors.Conclusions The recurrent rate of ovarian cancer was related to the histology type,surgery stage and postaperative residual tumors.Early diagnosis and prompt surgery are the key to decrease the recurrence and improve the prognosis.The close follow-up is necessary to the patients with high risk factors of recurrence,in order to find the recurrence in time and avoid delaying the treatmat and affecting the prognosis.