CO_2冷冻治疗阴道残端复发性卵巢癌1例的疗效观察及文献复习  

Effect of cryosurgery on recurrent ovarian cancer at vaginal residue:a case report

作　　者：孙霭萍[1] 佟杰[2] 李敏[1] 王石麟[3] 潘子昂[3] 盛瑞红[3] 

机构地区：[1]中日友好医院妇产科,北京100029 [2]中日友好医院病理科,北京100029 [3]中日友好医院电镜室,北京100029

出　　处：《中日友好医院学报》2007年第3期153-155,F0003,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的观察冷冻治疗阴道残端复发性卵巢癌的效果。方法经阴道冷冻阴道残端复发性卵巢粘液性癌1例,比较冷冻前后肿瘤组织病理学改变;定期复查记录瘤体变化;末次冷冻后1周剖腹行肿瘤细胞减灭术。结果冷冻前组织中见许多形态、结构完整的肿瘤细胞,冷冻后肿瘤组织细胞完全破碎、丧失一切正常结构,瘤体随着重复冷冻逐渐缩小。术后病理纤维结缔组织中见少许粘液腺癌浸润。结论冷冻治疗阴道残端癌,可以有效地减灭肿瘤,操作简便,副作用少。冷冻可以与化疗、手术结合作为妇科恶性肿瘤综合治疗的一部分。Objective：To observe the effect of cryosurgery on recurrent ovarian cancer at vaginal residue. Methods：Cryosurgery via vagina was used to treat a patient diagnosed as recurrent mucinous ovarian cancer at vaginal residue.The pathological change was. compared fore-and-after cryosurgery.The bulk of tumor was examined termly.The cytoreductive surgery was performed 1 week after last cryosurgery.Results：Many cancer cells with intact figure and structure before cryosurgery was completely destroyed after cryosurgery and lost normal structure. The bulk of tumor was gradually reduced afer cryosurgery.Pathological report showed a little mucinous adenocarcinoma among fibrous connective tissue.Conclusion：Cryotherapy is an effective,convenient and less side-effect method to treat tumor metastasis at vagial residue.As part of integrative therapy, cryosurgery can be used to cure gynecologic tumor with chemotherapy and surgery.

关 键 词：冷冻 阴道残端 卵巢癌 疗效 

分 类 号：R737.34[医药卫生—肿瘤]