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55例消化系统卵巢转移瘤的临床分析

[Clinical analysis of 55 ovarian metastatic tumors from digestive system].

作者信息

Xu Li, Zhan You-qing

机构信息

Department of Abdomen, Cancer Center, Sun Yat-sen University, Guangzhou 510060, P. R. China.

出版信息

Ai Zheng. 2002 Mar;21(3):311-3.

PMID:12452002
Abstract

BACKGROUND & OBJECTIVES: Ovarian metastasis of digestive system tumors is a special way of tumor metastasis, which the diagnosis and treatment are difficult. The objective of this paper is to seek the clinical characteristics of ovarian metastatic tumors from digestive system, to aid correct diagnosis and treatment, so that to improve their curative effect.

METHODS

The authors collected the information of 55 patients with ovarian metastatic tumors from digestive system, and analyzed 12 items of the patients including their age, menorrhea and child-bearing, details of original tumors and metastatic tumors, pathologic types, ascites, clinical symptoms, tumor markers, time of metastasis, diagnosis, treatment, curative effect, etc.

RESULTS

Misdiagnosis rate of the team was 30.9%. Survival rate of 1 year, 3 years, and 5 years were 22.4%, 4.1%, and 2.0% in 49 patients, followed up respectively.

CONCLUSION

Ovarian metastatic tumors from digestive system are easy to be misdiagnosed, and have poor prognosis. Careful long-term follow-up and active operation and chemotherapy may be effective to improve their curative effect.

摘要

背景与目的

消化系统肿瘤卵巢转移是肿瘤转移的一种特殊方式,诊断与治疗困难。本文旨在探寻消化系统卵巢转移瘤的临床特点,以助于正确诊断与治疗,从而提高其疗效。

方法

作者收集了55例消化系统卵巢转移瘤患者的资料,分析了患者的年龄、月经及生育情况、原发肿瘤及转移瘤详情、病理类型、腹水、临床症状、肿瘤标志物、转移时间、诊断、治疗、疗效等12项内容。

结果

该组误诊率为30.9%。49例患者分别进行随访,1年、3年、5年生存率分别为22.4%、4.1%、2.0%。

结论

消化系统卵巢转移瘤易被误诊,预后较差。仔细的长期随访及积极的手术和化疗可能有效提高其疗效。

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