原发性腹膜癌诊断和治疗

目的 探讨原发性腹膜癌的诊断、治疗方案及其预后.方法 回顾性分析2000年3月～2006年11月在本院治疗的10例原发性腹膜癌临床资料.结果 原发性腹膜癌临床发病率低,临床症状和体征无特异性,误诊率高.肿瘤在腹腔内表现为广泛种植,全部患者均施行肿瘤减灭术,但大部分患者残留灶直径≥2cm,术后用以铂类为主的联合腹腔化疗.结论 腹胀、腹痛、腹腔积液是原发性腹膜癌主要症状与体征;手术尽可能选择恰当肿瘤细胞减灭术,避免过大创伤,影响患者恢复和化疗,并影响患者的生存时间;腹腔化疗可能优于静脉化疗.

Diagnosis and Treatment of Primary Peritoneal Carcinoma

Objective To investigate the relationship between diagnosis and treatment of the primary peritoneal carcinoma(PPC)and its prognosis.Methods The clinical materials of 10 women,who were diagnosed with PPC,were analyzed retrospectively from Mar.2000 to Nov.2006.Results We found that PPC has lower rate of incidence,higher rate of wrong diagnosis,wider spread in pelvis cavity and abdominal cavity and had no significant clinical signs and symptoms specificity.All of the patients needed cytoreductive surgery,but t...