卵巢恶性肿瘤80例临床分析

Clinical Analysis of 80 Cases with Malignant Ovarian Tumor

本资料对我院1980～1989年12月底收治的卵巢恶性肿瘤80例进行临床分析。结果表明发病的高峰年龄在45～55岁之间。77.5%的病人有盆腔包块,65%的病人有腹痛,45%有月经改变或合并腹水,71.2%合并贫血,半数以上为Ⅲ～Ⅳ期的晚期病人。65%为上皮性癌。经随访表明:基本切净者5年生存率为60.4%,残余癌≥2cm 绝大部分在2～3年内死亡。上皮性腺癌中以浆液性腺癌恶性程度高,内胚窦瘤和转移癌预后最差。临床分期越高预后越差。因此卵巢恶性肿瘤治疗的关键是:早期诊断、彻底治疗。

Eighty cases of malignant ovarian tumor treated in our hospital from Jan.1980 to Dec.1989 were analysed clinically.Most of the patients were aged at forty-five to fifty-five.Patients with pelvic mass account for 77.5%.65% of cases were with abdominal pain.45% of cases were accompanied with menstrual abnormalities or ascites.Patients complicated with anemia were 71.2%.There were 65% of cases in FIGO Ⅲ or Ⅳ stage.The five-year survival rate of the patients without any residual disease was 60.4%.Most of patients with residual lesion more than 2cm died within 2 or 3 years.The most malignant adenocarcinoma was in the epithelial carcinomas.The prognosis of endodermal sinus tumor and metastastic tumor was the worst.The key management of malignant ovarian tumor was early diagnosis and thorough treatment.