卵巢转移癌64例临床病理分析

Clinico-pathological Analysis of 64 Cases of Metastatic Ovarian Carcinoma

我院自1973年11月～1986年12月收治卵巢转移癌64例,占同期卵巢恶性肿瘤14.7％(64/436),其中库肯勃氏瘤(称KT)46例,占转移癌的71.9％。本组病例手术后加化疗者56例,尚在继续巩固化疗者9例,其中2年、5年以上者各1例。本组64例存活2年以上者仅4 例(6.3％)。本文分析了卵巢转移癌的病理组织类型,并就诊断标准及提高诊断率方面进行讨论。

Frcm November 1973 to December 1986, 64 patients with metastatic ovarian carcinoma were treated. They accounted for 14.7% (64/436)of all ovarian cancers seen during that period. Of these, 46 cases were Krukenberg's tumor (KT) accounting for 71.9%. The primaries giving rise to KT were either in the stomach or the intestine. In 56 patients of this series surgery combined with postoperative chemotherapy was done with 9 still alive and well. Of the total 64 patients, the 2-year survival rate was 6.3 %. The histologic types and differential diagnosis of this disease were discussed.