摘要
自1980年1月至1988年9月,因卵巢恶性肿瘤术时而作阑尾切除的有30例,其中属于原发性卵巢上皮性癌的有26例,其他卵巢恶性肿瘤4例,发现阑尾转移的有7例,占23.3±7.7%(7/30),均发生于卵巢上皮性癌,其阑尾转移率为26.9±8.7%(7/26)。按FIGO分类,Ⅰ期3例、Ⅱ期4例、Ⅲ期18例、Ⅳ期1例。仅有晚期卵巢上皮性癌发生阑尾转移,其发生率为36.8±11.1%(7/19)。本组资料表明,阑尾是卵巢上皮性癌的转移部位之一,尤其是晚期卵巢癌很易发生阑尾转移,故在术时应常规切除阑尾,以减少术后复发。根据随机抽样调查表明,阑尾切除组与对照组的术后病率发生率相比,差异无显著性。
From Jan. 1986 to Sept. 1988, 30 patients were did appendectomy because of ovarian malignant tumors. 26 cases were primary epithelial ovarian cancer. The rem'aining 4 patients were of other ovarian malignant tumors. 7 cases were appendiceal metastases in 23.3% (7/30) . The patients were categorized by FIGO: stage Ⅰ in 3 cases, stage Ⅱ in 4 cases, stage Ⅲ in 18 cases & stage Ⅳ in 1 case. No patient with stage Ⅰ or Ⅱ had microscopic or macroscopic metastasis to the appendix. Only patients with advanced epithelial ovarian cancer (Ⅲ/Ⅳ)had appendiceal metastases. In this series, the appendix was found to have metastatic disease in 7 of 19 patients (36.8%)with advanced disease. It appears that appendix was a target for metastatic implants. So that patients with advanced ovarian cancer required routine appendectomy to reduce and prevent the tumor occurrence. There was no significant differences of postoperative morbidity between groups of the appendectomy & the control.
出处
《安徽医科大学学报》
CAS
1989年第3期215-216,共2页
Acta Universitatis Medicinalis Anhui
关键词
卵巢肿瘤
肿瘤转移
癌
阑尾
neoplasm metastasis
ovarian neoplasms
carcinoma
appendix
