Ⅲc期卵巢癌淋巴结转移对患者预后的影响

Influence of lymph node metastasis on prognosis of patients with Ⅲc stage ovarian cancer

目的:探讨Ⅲc期卵巢癌淋巴结转移对患者预后的影响。方法:收治Ⅲc期卵巢癌患者40例,进行随访观察,记录疾病进展情况。结果:40例患者中,盆腔淋巴结转移10例中,3年生存率90.0%,5年生存率80.0%;30例腹膜转移中,3年生存率56.70%,5年生存率36.7%。残留病灶<1 cm 24例中,3年生存率79.2%,5年生存率54.2%;残留病灶>1 cm 16例中,3年生存率43.8%,5年生存率18.8%。腹膜转移生存率明显低于盆腔淋巴结转移(P<0.05),残留病灶>1 cm患者生存率明显低于残留病灶<1 cm患者(P<0.05)。结论:腹膜转移生存率明显低于盆腔淋巴结转移,残留病灶>1 cm患者生存率明显低于残留病灶<1 cm的患者。

Objective：To explore the influence of lymph node metastasis on prognosis of patients with Ⅲc stage ovarian cancer.Methods：40 patients with Ⅲc stage ovarian cancer were selected.We followed up and recorded the progress of the disease.Results：In the 40 patients,there were 10 cases with pelvic lymph node metastasis.The 3-year survival rate was 90%,and the 5-year survival rate was 80%.There were 30 cases with peritoneal carcinomatosis.The 3-year survival rate was 56.70%,and the 5-year survival rate was 36.7%.There were 24 cases with residual lesion less than 1 cm.The 3-year survival rate was 79.2%, and the5-year survival rate was 54.2%.There were 16 cases with residual lesion more than 1 cm.The 3-year survival rate was 43.8%,and the 5-year survival rate was 18.8%.The survival rate of peritoneal metastasis was significantly lower than that of pelvic lymph node metastasis（P0.05）.The survival rate of patients with residual lesion less than 1 cm was significantly lower than that of patients with residual lesion more than 1 cm（P0.05）.Conclusion：The survival rate of peritoneal metastasis was significantly lower than that of pelvic lymph node metastasis.The survival rate of patients with residual lesion less than 1 cm was significantly lower than that of patients with residual lesion more than 1 cm.