| 卵巢癌初始治疗中手术相关若干问题及临床意义 |
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| 引用本文： | 崔恒,李艺. 卵巢癌初始治疗中手术相关若干问题及临床意义[J]. 国外医学:妇产科学分册, 2011, 0(4): 285-288,301 |
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| 作者姓名： | 崔恒 李艺 |
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| 作者单位： | 北京大学人民医院妇科肿瘤中心; |
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| 摘 要： | 卵巢癌的初始治疗是影响患者预后的最重要因素。早期卵巢癌要进行全面的开腹分期手术,如初次手术未做到全面分期,应在化疗开始前进行再分期手术。晚期卵巢癌要争取在高级别的妇科肿瘤中心进行初次的满意的肿瘤细胞减灭术,特别要重视上腹部手术,力争做到无肉眼残留病灶。新辅助化疗和间歇性肿瘤细胞减灭术可以选择性地应用于部分晚期不适合直接手术的患者,或者初次基本手术后仍有残留的患者,但后者的适用指征还需要进一步明确。
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| 关 键 词： | 卵巢肿瘤 初始治疗 分期手术 满意肿瘤细胞减灭术 间歇性肿瘤细胞减灭术 |
Significance and Rationale About Surgery in Primary Treatment for Ovarian Carcinoma |
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| CUI Heng,LI Yi. Gynecologic Oncology Center,Peking University People's Hospital,Beijing ,China. Significance and Rationale About Surgery in Primary Treatment for Ovarian Carcinoma[J]. Foreign Medical Sciences(Obstet Gynecol Fascicle), 2011, 0(4): 285-288,301 |
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| Authors: | CUI Heng LI Yi. Gynecologic Oncology Center Peking University People's Hospital Beijing China |
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| Affiliation: | CUI Heng,LI Yi. Gynecologic Oncology Center,Peking University People's Hospital,Beijing 100044,China |
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| Abstract: | Primary treatment is the most crucial survival factor for ovarian carcinoma. Laparotomy comprehensive staging surgery is the standard surgey if clinical stage 1 is considered. Surgical staging procedure should be taken before chemotherapy if an incomplete previous surgery was done. Optimal cytoreductive surgery is suggested to perform in higher level gynecologic oncology center if possible for clinical stage II,III, or IV. Pay more attention to procedures include upper abdominal area. Consider neoadjuvant c... |
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| Keywords: | Ovarian neoplasms Primary treatment Staging surgery Optimal cytoreductive surgery Interval cytoreductive surgery |
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