卵巢癌体表淋巴结转移的影响因素

The influential factors of superficial lymph node metastasis of ovary

目的 :探讨卵巢癌体表淋巴结转移的影响因素的关系。方法 :回顾性分析我院 195 8～ 1995年收治的75例卵巢癌体表淋巴结转移的临床病理资料。年龄范围 2 0～ 6 5岁 ,Ⅰ～Ⅳ期分别为 5、8、2 5和 37例 ;原发灶上皮来源占 96 % ,其中浆液性腺癌占 92 % ,在治疗后出现转移的 38例中 ,术后残存肿瘤 <2cm 11例 ,>2cm 2 7例 ;治疗分别采用单纯化疗、化疗加盆腔放疗及未加辅助治疗。结果 :病理类型、病理分级、手术分期、治疗方法和残存肿瘤大小均与体表淋巴结转移有关。结论 :卵巢癌体表淋巴结转移受多因素影响 。

Objective:To explore relationship between the superficial lymph node metastasis from ovarian cancer and clinicopathological factorsMethods:From March 1958 to May 1995, 75 cases of ovarian cancer with superficial lymph node were retrospectively reviewedIncidence of this series accounted for 61%of patients with malignant ovarian neoplasms in the same periodOf 75cases 5 were in stage Ⅰ,8 in stage Ⅱ, 25 in stage Ⅲand 37 in stage ⅣThe primary tumor and biopsy of lymph node originated from epithelial were 96%and the serous carcinoma were 92%, respectivelyIn 38 cases with superficiallymph node metastasis following treatment, residual tumor size less than 2 cm were 11 cases, and more than 2 cm were 27 casesThe post operative treatment waschemotherapy, chemotherapy combined with radiotherapy or no any adjuvant therapyResults:Superficial lymph node metastasis related to pathological types, pathological grade,surgical stage, residual tumor size and therapeutic modalityConclusions:Superficial lymph node of ovarian cancer is influenced by multifactorsOptimal cytoreductive operation combined with mulitiagents and multicourses chemotherapy as well as radiotherapy would delay metastasis