实用肿瘤学杂志 ›› 2012, Vol. 26 ›› Issue (4): 340-342.doi: 10.3969/j.issn.1002-3070.2012.04.012

• 论著 • 上一篇    下一篇

61例肠源性卵巢转移癌的诊治分析

李景文, 王锡山, 王贵玉, 陈英罡, 刘正   

  1. 哈尔滨医科大学附属第三医院结直肠外科(哈尔滨 150081)
  • 收稿日期:2011-11-04 出版日期:2012-08-28 发布日期:2014-12-03
  • 通讯作者: 王锡山,E-mail:wxshan1208@yahoo.com.cn
  • 作者简介:李景文,男,(1981-),硕士研究生,从事结直肠癌的临床治疗与基础研究

Diagnosis and treatment of ovarian metastatic carcinoma from colorectal cancers:analysis of 61 cases

LI Jingwen,WANG Xishan,WANG Guiyu,CHEN Yinggang,LIU Zheng   

  1. Department of Colorectal Surgery,The Third Affiliated Hospital of Harbin Medical University,Harbin 150081
  • Received:2011-11-04 Online:2012-08-28 Published:2014-12-03

摘要: 目的 探讨肠源性卵巢转移癌的临床特点、诊断及治疗方法。方法 回顾性分析我院1990—2009年收治的61例肠源性卵巢转移癌患者的临床资料。结果 肠源性卵巢转移癌好发于中青年女性,尤其是未绝经女性多见(34/61),原发灶病理类型多为中分化腺癌、低分化腺癌或黏液腺癌,恶性程度相对较高,容易漏诊,预后差。结论 结直肠癌卵巢转移意味着晚期病变,应首先采取手术治疗,手术要同时切除原发灶、子宫及双侧附件,再辅助化疗、放疗等综合治疗。

关键词: 结直肠癌, 卵巢转移癌, 综合治疗

Abstract: Objective To investigate the clinical feature,diagnosis and treatment of ovarian metastatic carcinoma from colorectal cancers.Methods Clinical and histological date of 61 cases with ovarian metastatic carcinoma from colorectal cancers from 1990 to 2009 were analyzed retrospectively.Results Ovarian metastatic carcinoma from colorectal cancers occurs more often in middle aged women and mostly premenopausal women(34/61).The most common pathological types of the primary carcinomas were moderately differentiated adenocarcinoma and poorly differentiated adenocarcinoma or myxedema.It is hard to diagnose preoperatively and is highly malignant with poor prognosis.Conclusion Operation is the first choice to colorectal cancer patients with ovarian metastasis,The operation include resection of primary colorectal cancer,hysterectomy and bilateral salpingoophorectomy.After the operation,we should conduct the chemotherapy and radiotherapy.

Key words: Colorectal cancer, Ovarian metastasis, Comprehensive treatment

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