大肠癌卵巢转移的临床特点及诊治  

A Study on the Clinical Characteristics and Diagnosis of Ovary Metastasis of Colorectal Neoplasm

作　　者：刘远光[1] 郑文凯[2] 左爱芳[1] 武来兴[1] 董振江[1] 

机构地区：[1]河北医科大学附属邯郸中心医院普外一科,河北省邯郸市056002 [2]邯郸市第二医院

出　　处：《中国全科医学》2005年第18期1529-1530,共2页Chinese General Practice

摘　　要：目的探讨大肠癌卵巢转移的临床特点及治疗方法。方法分析我院近两年21例大肠癌卵巢转移患者的临床资料与治疗过程。结果大肠癌卵巢转移好发于年青女性,以双侧多见,原发灶大多为粘液腺癌、粘液细胞癌与低分化腺癌,多侵犯浆膜,肿瘤上界在腹膜返折以上,临床分期多为DukesC或D,发生卵巢转移者预后较差。结论女性大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,对无卵巢转移者是否预防性切除卵巢应采取个体化原则。Objective To study the clinical characteristics and the therapy of ovary metastasis in the carcinoma of large intestines. Methods To analyze the clinic documental data and the treating course of 21 cases with ovary metastasis in the carcinoma of large intestines. Results The ill cases of the ovary metastasis in the carcinoma of large intestines are easily prone to see among the young female group. Most of the ill cases are bilateral ovarian ones whose primary lesions are mucoid adenocarcinoma and/or mucoid cell carcinoma and/or poorly differentiated ad and/or invasion serous folds. The ad up - limits are above the peritoneal folds rounds with the clinic analytic results of Duke C or D and the worse prognosis in the ovary metastasis. Conclusion All the Colorectal neoplasm female sufferers have to pay attention to the proneness to the ovary metastasis. In the case of the ovary metastasis, the female sufferers should receive the radical excision of not only the primary lesions but also the uterus, and its adnexa should continue the combined therapy based on the surgical operation. The individual noumenal principle will be kept in mind for the female sufferers without the ovary metastasis on to receive the above - mentioned treatment or not.

关 键 词：大肠肿瘤 肿瘤转移 外科手术 综合治疗 

分 类 号：R735.34[医药卫生—肿瘤]