妇科恶性肿瘤肝转移的治疗

Treatment of Liver Metastases from Gynaecological Malignant Tumors

目的：探索妇科肿瘤肝转移的治疗方法。方法：用肝切除（其中6例肝内病灶被完全摘除，1例肝内切除4个肿瘤后尚残留3个肿瘤）联合术后肝动脉化疗栓塞和静脉全身化疗方法治疗妇科恶性肿瘤肝转移7例。原发肿瘤为子宫颈癌1例；子宫体癌2例，卵巢癌1例，恶性滋养叶细胞肿瘤3例。结果：全组随访3～40个月，平均20．6个月。患者全部存活，超声和CT检查6例肝内未再发现肿瘤、1例复发。结论：肝切除联合术后肝动脉化疗栓塞治疗妇科恶性肿瘤肝转移有效。

Objective: To search a method of treatment of liver metastases from gynaecological malignant tumors. MateriaIsand Methods: Seven patients with liver metastases from gynaecological malignant tumor were treated by hepatic resection (in-cluded the hepatic lesions completely extirpated in 6 cases and 1 other case of residual of tumors in liver after resection of 4 tu-mors) combined with transhepatic arterial chemoembolization and intravenous chemotherapy. Metastatic liver tumors originat-ed from uterine cervix cancer in 1, uterine corpus cancer in 2, ovarian cancer in 1 and malignant trophocytic tumor in 3. Re-sults: All patients were followed up for 3 to 40 months (mean 20. 6 months), all are alive and metastatic liver tumors were dis-appeared in ultrasonic examination and CT scanning in 6 patients and with recurrence in one. Conclusion: Hepatectomy com-bined with postoperative transcatheter arterial chemoemboization is useful for the liver metastases from gynaecological malig-nant tumors.