直肠癌卵巢转移24例诊治分析

Rectal carcinoma with metastasis to the ovary

目的 探讨直肠癌卵巢转移的治疗方法。方法 分析 1993～ 1997年 2 4例直肠癌卵巢转移临床资料。结果 直肠癌卵巢转移好发于年青女性 ,以双侧多见 ,原发灶大多为低分化腺癌或粘液腺癌 ,多侵犯浆膜 ,临床分期多为DukesC期以上 ,发生卵巢转移者预后较差。结论 女性直肠癌患者应注意有无卵巢转移 ,对有卵巢转移者应在根治性切除原发灶的同时一并切除子宫及双侧附件 ,并采用以手术为主的综合治疗 。

Objective To study the treatment of ovarian metastasis from rectum cancer.Methods We review our 24 rectum cancer patients with metastasis to the ovary between 1993～1997. Results Overian metastasis are often found bilateral, especially in premenopausal stage. Low differentiated or ring cell adenocarcinoma, tumors at advanced stage (Dukes C or up) are prone to metastasize to ovary, and the patient's prognosis is usually poor.ConclusionIt is mandatory to inspect the ovary during a laparotomy of rectal cancer woman. Patients with ovarian metastases should undergo additional uterectomy plus bilateral oophorectomy.