Angelova I, Slavchev B, Mushmov M
Akush Ginekol (Sofiia). 1991;30(1):29-32.
The authors describe 12 women with endometrioid ovarian carcinoma at the age of 28 to 74 years. Endometrioid carcinoma is accompanied by endometrial carcinoma in 4 women. Five patients are at I stage, 5 patients--at II stage and 1 patient--at III and IV stage. All women are operated and have total hysterectomy with bilateral adnexectomy and 7 women have omectomy and 5 are without omectomy. All are treated by postoperative telegammatherapy: 8 patients-at the region of the pelvis 1--woman-at the pelvis and para-aortal lymph chains, 2 patients--with band irradiation of the whole abdomen and 1 woman is irradiated palliatively. 7 out of 8 patients treated radically and followed over 5 years, are clinically healthy and only 1 is dead and she been at III stage. In the last case there has been mesonephroid component and it has caused probably more malignant course of the disease. An inference is made that the complex treatment of endometrioid carcinoma of the ovary--radical operation and postoperative irradiation, gives good results.
作者描述了12例年龄在28至74岁之间的子宫内膜样卵巢癌女性患者。4例子宫内膜样癌患者同时伴有子宫内膜癌。5例患者处于I期，5例处于II期，1例处于III期和IV期。所有女性均接受了手术，行全子宫切除术及双侧附件切除术，7例女性还进行了大网膜切除术，5例未行大网膜切除术。所有患者术后均接受了放射治疗：8例患者接受盆腔区域放疗，1例患者接受盆腔及腹主动脉旁淋巴结链放疗，2例患者接受全腹带状照射，1例患者接受姑息性放疗。8例接受根治性治疗且随访超过5年的患者中，7例临床健康，仅1例死亡，该患者处于III期。在最后一例中存在中肾样成分，这可能导致了疾病更恶性的病程。由此推断，卵巢子宫内膜样癌的综合治疗——根治性手术及术后放疗，效果良好。
