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[卵巢癌浅表淋巴结转移——31例分析]

[Superficial lymph node metastasis from ovarian cancer--an analysis of 31 cases].

作者信息

Hou Y J

机构信息

Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.

出版信息

Zhonghua Zhong Liu Za Zhi. 1990 Nov;12(6):466-8.

PMID:2076648
Abstract

From March 1958 to June 1988, 53 cases of ovarian cancer with superficial lymph node metastasis (SLM) were treated in our hospital comprising 5.6% of patients with malignant ovarian tumors in the same period. Of 53 cases, 31 were proven by histopathology, and 27 had serous adenocarcinoma. Of these 31 cases, 15 with Stage IV lesion had SLM at time when first seen in the clinic and the others developed SLM during treatment or afterwards. The median survival was 34.7, 11.8 and 12.9 months in Grades I, II and III, respectively. Prognosis is related to pathological grade. The median survival was 36.5 months in 10/31 patients treated with surgery combined with chemotherapy and radiotherapy, 9.1 months in 6/31 treated with surgery plus chemotherapy, 22.4 months in 3/31 treated with radiotherapy only and 8.5 months in 6/31 treated with chemotherapy only. It is suggested that aggressive treatment can improve survival.

摘要

1958年3月至1988年6月,我院共收治53例伴有浅表淋巴结转移(SLM)的卵巢癌患者,占同期卵巢恶性肿瘤患者的5.6%。53例中,31例经组织病理学证实,27例为浆液性腺癌。在这31例中,15例IV期病变患者初诊时即有SLM,其余患者在治疗期间或之后出现SLM。I级、II级和III级患者的中位生存期分别为34.7个月、11.8个月和12.9个月。预后与病理分级有关。31例患者中,10例接受手术联合化疗和放疗,中位生存期为36.5个月;6例接受手术加化疗,中位生存期为9.1个月;3例仅接受放疗,中位生存期为22.4个月;6例仅接受化疗,中位生存期为8.5个月。提示积极治疗可提高生存率。

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