胃结肠癌卵巢转移33例临床分析

Clinical analysis of gastrointestinal carcinoma metastasis to the ovaries

目的 :探讨胃肠道癌卵巢转移的特点与治疗。方法 :根据治疗方式不同 ,将 33例分成 4组。A组 :10例同时发现原发灶和转移灶并同时切除 ;B组 :14例原发灶切除后发现转移灶并切除 ;C组 :5例同时发现原发灶和转移灶只切除转移灶 ;D组 :4例原发灶和转移灶均未切除。结果 :4组平均生存时间分别为 12 .5个月、5 .5个月、4个月和 4.5个月。A组与其它 3组平均生存期比较 ,差异有显著性 (P <0 .0 5～P <0 .0 1)。其它各组比较差异无显著性 (P >0 .0 5 )。结论 :术中同时切除原发灶和转移灶的患者生存时间长。只切除转移灶无助于延长生存期。

Objective:To study the characteristic and treatment of 33 gastrointestinal cancer metastasis to ovary.Methods:Thirty three cases were divided into four groups according to different methods of treatment as follows.Group A:10 cases with the primary and metastatic cancer detected and removed at the same time;Group B:14 cases with the metastatic cancer detected and removed after the primary site had been removed;Group C:5 cases with primary and metastatic cancer detected at the same time,but only the metastatic cancer removed;Group D:4 cases with the primary and metastatic cancer not removed.Results:The mean survival times of the four Groups were:12.5 months,5.5 months,4 months and 4.5 months,respectively.The mean survival time between Group A and the other Groups had significant difference( P <0.05～ P <0.01).There was no statistical difference among the other Groups( P >0.05).Conclusions:The survival time was improved by removing the primary and metastatic cancer at the same time.It had no benefit for the survival only with the metastatic organ removed. [