摘要
目的:分析胃肠道癌卵巢转移癌的临床特点、治疗及预后因素。方法:对66例胃肠道癌卵巢转移患者的临床特征、治疗、生存情况及预后因素进行回顾性分析。结果:转移性卵巢癌的病理类型以低分化腺癌及印戒细胞癌为主(占62.12%,41/66),双侧卵巢转移常见(65.15%,43/66);来源于胃癌者比来源于大肠癌者且预后差(P=0.016);全组患者中位生存期为10个月,生存率分别是:1年3 4.3%,2年1 9.1%,3年8.9%。卵巢转移癌经过治疗者较放弃治疗者生存期延长(P=0.000)。术后残留肿瘤≤2 cm者较>2 cm者生存时间延长(P=0.002)。结论:胃肠道癌卵巢转移病期晚,预后差,以手术联合化疗为主的综合治疗有延长患者生存期的趋势。
Objective:To investigate the clinical features, treatment and prognosis of metastatic ovarian carcinoma. Methods :The clinical data of 66 patients with metastatic ovarian carcinoma at was reviewed. Results: The primary carcinoma included 32 cases of stomach cancer and 34 cases of colon cancer. Ovarian metastasis was found bilateral (65.15% ,43/66 ), especially in low differentiated or ring - cell adenocarcinoma, when the primary tumors were at stomach, the prognosis was poorer (P = 0. 016). In 66 patients, the median survival was 10 months . Survival rates of 1 year,2 years and 3 year were 34.3% , 19.1% ,8.9%, respectively. In the patients who underwent operation, if the diameter ≤2cm,the survival time prolonged, compared with 〉 2cm (P = 0. 002). Conclusion: Ovarian metastatic tumors from stomach and colon have poor prognosis. Operation and chemotherapy may improve the survival.
出处
《现代肿瘤医学》
CAS
2009年第2期303-304,共2页
Journal of Modern Oncology
关键词
胃肠肿瘤
卵巢肿瘤
肿瘤转移
ovarian neoplasms
Gastrointestinal neoplasms
neoplasm metastasis