摘要
目的 :探讨腹膜假粘液瘤 (pseudomyxomaperitonei,PP)的临床病理特征及预后。方法 :回顾性分析我院 1972年 12月至 1999年 12月间收治的 12例PP的临床及随访资料。采用Kaplan Meier法计算患者的生存率。结果 :患者诊断时的平均年龄为 4 9岁 ,原发病灶为阑尾和卵巢的粘液性肿瘤 ,肠梗阻及多次术后切口和全身感染是患者死亡的主要原因。本组患者的中位生存期为 72个月 ,5年生存率为 6 1% ,10年生存率为 19%。结论 :PP可来源于卵巢和阑尾的粘液性肿瘤 ,病理形态虽为良性或低度恶性 ,但患者 10年生存率低。目前尚无根治PP的方法 ,手术是治疗PP唯一肯定的有效方法 。
Objective:To investigate the clinical pathologic characteristic and prognosis with pseudomyxoma peritonei(PP).Methods:The clinical records and follow up data of 12 cases with PP were retrospectivelyanalyzed.Survival rate was calculated using kaplan Meier method.Results: The mean age of the 12 patients at the time of diagnosis was 49 years.PP derived from mucinous tumors of ovary or appendix umors.The major causes of death were intestinal obstruction and infection of incisional wound and total bodycaused by multiple operation.The median survival time was 72 months.5 year survival rate was 61%,and 10 year survival rate was 19%. Conclusions:The PP can derive from ovarian and appendiceal mucinous tumors.The 10 year survival rate was low although it is benign or low potential malignant on pathomorphology.At present,there is no ideal method to treat it.The mainstay of treatment for PP remains cytoreductive surgery.The appendix should be resected routinely.
出处
《现代妇产科进展》
CSCD
2002年第4期268-270,共3页
Progress in Obstetrics and Gynecology
关键词
腹膜假粘液瘤
临床病理学
治疗
预后
PP
Pseudomyxoma peritonei
Pathology,clinical
Treatment outcome
Prognosis
