Shepherd J H, Crowther M E, Ward B G, Singh P
Ann R Coll Surg Engl. 1986 Nov;68(6):315-8.
The management of 191 patients with ovarian cancer is presented. A significant proportion of these patients were initially seen (16%) or operated on (7%) by a general surgeon. The current surgical approach to this disease should be aggressive, and in 23% of these patients a non-gynaecological surgical procedure was required. Although chemotherapy is the main form of treatment following surgery, its chances of success are influenced by the amount of tumour left after surgery. The picture is not uniformly hopeless, and of 34 patients who subsequently underwent laparotomy to check the effectiveness of chemotherapy, 10 (29%) had no evidence of disease. Palliative surgery also has an important place in the management of this disease to provide comfort from disabling symptoms, and in some cases it may prolong life.
本文介绍了191例卵巢癌患者的治疗情况。这些患者中有相当一部分最初由普通外科医生诊治（16%）或接受手术（7%）。目前针对这种疾病的手术方法应积极主动，其中23%的患者需要非妇科手术。虽然化疗是术后主要的治疗方式，但其成功几率受术后残留肿瘤量的影响。情况并非完全绝望，在随后接受剖腹手术以检查化疗效果的34例患者中，有10例（29%）没有疾病迹象。姑息性手术在这种疾病的治疗中也占有重要地位，可缓解致残症状带来的不适，在某些情况下还可能延长生命。
