子宫内膜癌卵巢转移的临床病理分析  

Clinicopathological analysis of ovarian metastasis of endometrial cancer

作　　者：伏铠文[1] 肖秀丽[1] 王洪飞[2] 郭晶晶[1] 刘萍[1] 

机构地区：[1]泸州医学院病理学教研室,四川泸州646000 [2]泸州医学院附属中医院病理科,四川泸州646000

出　　处：《泸州医学院学报》2013年第4期369-371,共3页Journal of Luzhou Medical College

摘　　要：目的:研究子宫内膜癌患者发生卵巢转移的临床病理特点及高危因素。方法:回顾性分析1999年1月至2012年12月在泸州医学院附属医院确诊并手术治疗的161例子宫内膜癌患者的临床病理资料。结果:161例子宫内膜患者中,22例(13.66%)发生卵巢转移,年龄≤44岁患者卵巢转移发生率20.69%,年龄>44岁患者卵巢转移发生率12.12%,非子宫内膜样癌卵巢转移率33.33%,宫颈受累及患者卵巢转移发生率36.84%。结论:病理分化程度低、深肌层浸润、浆膜受累及、宫颈受累及、淋巴结转移、大网膜转移是子宫内膜癌卵巢转移的高危因素。Objective： To study the clinicopathological characteristic and risk factors of ovarian metastasis from endometrial cancer. Methods： The clinicopathological features and outcomes of endometrial carcinoma patients from January 1999 to December 2012 in our hospital were retrospectively reviewed and analyzed. Results： Among these 161 cases, 22 （13.66%）had ovarian metastasis. The incidence of ovarian metastasis in patients younger than 44 years was 20.69%, in patients older than 44 years was 12.12%. In non-endometrial adenocarcinoma patients, 33.33% had ovarian metastasis. Among patients who had cervical metastasis, 36.84%had ovarian metastasis. Conclusions： Low histological grade, deep myometrial invasion, serosa invasion, cervical involvement, pelvic lymph node metastasis, and greater omentum metastasis are high risk factors for ovarian metastasis of endometrial cancer.

关 键 词：子宫内膜癌 卵巢 转移 危险因素 

分 类 号：R737.33[医药卫生—肿瘤]