Käser O
Fortschr Med. 1975 Oct 9;93(28):1317-22.
In every case of ovarian tumor or even if this possibility cannot be excluded by other means a diagnostic laparotomy is indicated. There are only a few exceptions to this rule. Before surgery every diagnostic step should be undertaken to determine the nature, extent and origin of the tumor. At laparotomy three situations may be found, 1. the tumor is obviously benign, 2. the nature of the tumor is doubtful and 3. the tumor is malignant. The diagnostic and therapeutic steps in all these situations and also in case of persistent or recurrent tumor are discussed. Treatment of ovarian cancer is radical surgery if possible and/or chemotherapy and radiation.
在每一例卵巢肿瘤病例中，或者即使通过其他方法不能排除这种可能性，都应进行诊断性剖腹手术。这条规则仅有少数例外情况。手术前应采取每一项诊断措施以确定肿瘤的性质、范围和起源。在剖腹手术时可能会发现三种情况：1. 肿瘤明显为良性；2. 肿瘤性质可疑；3. 肿瘤为恶性。本文讨论了所有这些情况下以及持续性或复发性肿瘤病例的诊断和治疗措施。卵巢癌的治疗方法是尽可能进行根治性手术和/或化疗及放疗。
