卵巢外腹膜浆液性乳头状癌6例分析

Analysis of 6 cases of EPSPC

目的分析卵巢外腹膜浆液性乳头状癌(EPSPC)的临床特点,鉴别诊断及治疗。方法对1999年11月～2004年9月我科收治的6例EPSPC病人的临床资料进行回顾性分析。结果经采用卵巢肿瘤细胞减灭术及全身化疗(PAC、TP方案)4～9疗程,6例中3例存活,2例死亡,1例失访。结论根据病史,临床表现与相关检查,EPSPC的术前诊断是可能的,该病预后较差。肿瘤细胞减灭术和全身化疗可改善预后。CA125可做为诊断及治疗监测指标之一。

Objective To analyze the clinical features of EPSPC as well as it's diagnosis and treatment. Methods By reviewing the clinical data of 6 EPSPC patients in our hospital from 1999 to 2004. Results By applying PAC and TP with 4~9 coutses of treatment , 3 of 6 patiants survived; 2 died; the last one lost contact. Conclusion On the basis of case history, clinical manifestation and other related examination, diagnosis of EPSPC before operation is possible and PAC and TP can improve the poor therapeutic effect of EPSPC. In addition, CA125 can be served as one of the monitoring index in diagnosis and treatment.