女性大肠癌卵巢转移的高危因素及治疗探讨

High Risk Factors and Treatment of Ovarian Metastasis from Colorectal Cancer

探讨女性大肠癌卵巢转移的高危因素。方法:对我院1990年4月至1996年4月经手术及病理证实的77例女性大肠癌进行临床及病理因素的单因素。多因素分析。结果:具有年龄≤50岁、肿瘤细胞分化程度低及肿瘤侵犯浆膜层三个因素者卵巢转移率明显增高。结论:上述三个因素是女性大肠癌卵巢转移的高危因素。建议女性大肠癌手术前常规作妇科及盆腔B超检查,术中认真探查双侧卵巢,高度重视卵巢的囊性改变。对未切除卵巢者,术后应密切随访卵巢情况。

Aims:To investigate the high risk factors of ovarian metastasis in female patients with colorectal cancer. Methods: From Apr. 1990 to Apr. 1996, 10 cases(13%) of ovarian metastasis in 77 women with colorectal cancer confirmed surgico-pathologically were analysed with mono-and multi-factors. Results: Less than 50 years old, poor differentiation and Dukes stage B**C are the high risk factors of ovarian metastasis. Conclusions: It is suggested that the routine gynecological and ultrasonic examination should be taken before operation in the female patients with colorectal cancer; the ovary and cystic changes of ovaries should be explored carefully in operation. The patients which oophorectomy were not be performed should be followed-up carefully after operation.