Chang K-H, Lee J-P, Ryu H-S
Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.
Int J Gynecol Cancer. 2006 Jan-Feb;16 Suppl 1:322-6. doi: 10.1111/j.1525-1438.2006.00363.x.
Ovarian cancer is one of the main gynecological malignancies including cervical cancer and endometrial cancer. Epithelial ovarian cancer generally presents with already advanced disease at the time of diagnosis and is accompanied by poor prognosis. However, stage I ovarian cancer defined as lesions confined to the ovary is usually considered to have a good prognosis, illustrated by a 5-year survival rate of greater than 70-80%. Also, recurrences tend to be late and are usually in the abdominopelvic cavity. Metastases to the skeletal structures are rare. We report a rare case of early stage IA ovarian cancer, in which the first recurrent lesion was bone metastasis.
卵巢癌是包括宫颈癌和子宫内膜癌在内的主要妇科恶性肿瘤之一。上皮性卵巢癌在诊断时通常已处于晚期,预后较差。然而,定义为病变局限于卵巢的Ⅰ期卵巢癌通常被认为预后良好,5年生存率大于70%-80%即可说明。此外,复发往往较晚,通常发生在腹腔和盆腔。骨骼结构转移很少见。我们报告一例罕见的早期ⅠA期卵巢癌病例,其首次复发病变为骨转移。