摘要
目的总结分析80例卵巢上皮癌,探讨卵巢上皮癌的临床特点,治疗方法,及预后相关因素。方法回顾性分析2010年1月—2015年1月该院收治的80例卵巢上皮癌的临床资料,总结卵巢癌的发病年龄、临床症状、辅助检查、病理类型、FIGO分期、治疗方法的特点,并分析各因素与预后的相关性。结果 (1)发病年龄为21~83岁,平均52.5岁,50~59岁患者最多;(2)临床表现以腹胀、腹痛、腹部包块为主;(3)卵巢上皮癌的彩色多普勒超声图表现以囊实性占多数,对卵巢上皮癌的诊断率达87.50%;(4)病理类型分为浆液性、粘液性的癌、子宫内膜样癌、透明细胞癌及其他,所占比例分别为57.50%,20.0%,13.75%,8.75%,3.75%;(5)根据FIGO分期,I期20例(25.00%),II期9例(11.25%),III期36例(45.00%),IV期15例(18.75%);(6)治疗方法以手术治疗为主,术后辅以化疗。结论 (1)卵巢上皮癌从40岁开始发病率上升,50~59岁达高峰;(2)卵巢上皮癌的早期临床症状不典型,以腹痛、腹胀、腹部包块为主;(3)卵巢上皮癌的治疗以手术为主,化疗为辅,理想的肿瘤减灭术和术后>6个疗程的化疗是提高生存率的重要因素;(4)FIGO分期、手术彻底性、术后化疗程数是影响预后的关键。
Objective To summarize and analyze the 80 cases with ovarian epithelial cancer and discuss the clinical features, treatment method and prognosis related factors of ovarian epithelial cancer. Methods 80 cases of patients with ovarian epithelial cancer admitted and treated in our hospital from January 2010 to January 2015 were selected and the onset age,clinical symptoms, adjunctive examination, pathological type, FIGO staging and treatment method of the ovarian cancer were summarized, and the correlation between various factors and prognosis was analyzed. Results The onset age was from 21 to83, and the average age was 52.5, and the patients aged from 50 to 59 were the most. The clinical manifestations were mainly abdominal distension, abdominal pain and abdominal mass. The manifestation of color Doppler ultrasonography was mainly cystic-solid, and the diagnosis rate of ovarian epithelial cancer reached 87.50%. The pathological type was divided into the mucinous cancer, endometrioid carcinoma, clear-cell carcinoma and others, and the ratio was respectively 57.50%,20.00%,13.75%,8.75%,3.75%. According to the FIGO staging, there were 20 cases during the I stage, accounting for 25.00%,9 cases during the II stage, accounting for 11.25%, 36 cases during the III stage, accounting for 45.00% and 15 cases during the IV stage, accounting for 18.75%, the treatment method was mainly the operation treatment. Conclusion The onset rate of ovarian epithelial cancer increases from 40 years old, 50~59 years old reaches the peak, the early clinical symptom of ovarian epithelial cancer is untypical, mainly including abdominal pain, abdominal distension and abdominal mass, the treatment of ovarian epithelial cancer is mainly operation, and the ideal tumor reductive surgery and chemotherapy more than 6 treatment courses after operation are the important factors of improving the survival rate, and the FIGO staging, operation thoroughness and chemotherapy course number after operation are the key influence factors of prognosis.
出处
《中外医疗》
2017年第6期80-81,84,共3页
China & Foreign Medical Treatment
关键词
卵巢上皮癌
临床特点
预后
Ovarian epithelial cancer
Clinical feature
Prognosis
