卵巢外腹膜乳头状癌(附6例报告)

Extraovarian Peritoneal Papillary Carcinoma.A Report of 6 Cases

卵巢外腹膜乳头状癌少见,发病缓慢而隐袭,常占满全腹或腹腔的一部分,呈乳头或结节状,播散性绒毛或粟粒状,可为大小不等的实性肿块,无包膜,广泛粘连或融合成团,肿物似在腹腔内广泛播散,很少累及腹腔外,通常卵巢正常或浅表受累,病理光镜下结构一如卵巢浆液性乳头状癌,常见砂粒体,故常误诊为卵巢癌腹膜转移,本文报告6例,年龄23～72岁,平均43岁,较文献中偏低。治疗以手术尽量切除,化疗以卵巢癌方案,6例中存活30个月2例,2例带瘤生存分别达12、14个月,另2例术后12、20个月死亡。

Six cases of extraovarian peritoneal papillary carcinoma are reported.Such primary tumors are rare,it may occur either as solitary growths or as disseminated nodules and plaques.Microscopical appearances closely resemble serous papillary carcinoma of ovary inclusive of frequent presence of psammoma.The ovary usually was normal or secondarily and slightly involved.Under the latter circumstance the disease oftentime is mistaken for carcinoma of ovary with metastasis to the peritoneum.