子宫内膜癌卵巢转移的临床病理分析

Clinico-pathological Analysis for Ovarian Metastasis in Patients with Endometrial Carcinoma

目的:研究子宫内膜癌卵巢转移的临床病理特点及高危因素。方法:回顾性分析自2001年6月至2006年1月在重庆医科大学附属第一医院诊断并行手术治疗的84例子宫内膜癌患者的临床病理资料。结果:84例子宫内膜癌患者中,6例(7.1%)发生卵巢转移,≤40岁年轻患者卵巢转移发生率为14.3%,非子宫内膜样腺癌卵巢转移发生率为25.0%,深肌层受侵患者卵巢转移发生率为18.8%,宫颈受侵患者卵巢转移发生率为21.4%,盆腔淋巴结受侵者卵巢转移发生率为27.3%。结论:卵巢转移多限于存在高危因素者,对早期子宫内膜癌无高危因素特别是≤40岁年轻患者可考虑保留卵巢。

Objective. To study the clinical and pathological characteristics, and the high risk factors for ovarian metastasis in patients with erxttrial carcinoma. Methods： The clinical and pathological feature, and outcomes of 84 endometral carcinomas patients who diagnosed and took operation in our hospital from June 2001 to January 2006, were retrospectively reviewed and analyzed. Results： Of the 84 cases, 6 （ 7.1% ） had ovarian metastasis. This rate increased to 14.3% in patients younger than 40 years. In non-erxdintriod adenocarcinoma, involvement of deep myometrium, cervix, and peMc lymph nodes, the rate of ovarian metastasis was 25.0%, 18.8%, 21.4%, and 27.3%, respectively.Conclusions： For early staging endometrial carcinoma patients that younger than 40 years, and with no high risk factors for ovarian metastasis, their ovaries should still be reserved.