Nomura Masatoshi, Tei Mitsuyoshi, Nishida Kentaro, Mori Soichiro, Yasuyama Akinobu, Yoshikawa Yukihiro, Sueda Toshinori, Matsumura Tae, Koga Chikato, Miyagaki Hiromichi, Tsujie Masanori, Akamaru Yusuke
Dept. of Surgery, Osaka Rosai Hospital.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1393-1395.
Among the cases that underwent primary tumor resection(PTR)of colorectal cancer at our hospital between January 2010 and December 2020, we examined 6 cases that involved ovarian metastasis(OM)surgery. The period from PTR to recurrence of OM was 2-28 months. Bilateral oophorectomy or bilateral salpingo-oophorectomy was performed in 5 cases, and unilateral oophorectomy was performed in 1. The reasons for surgery were symptom development and progressive disease. The period from recurrence of OM to OM surgery was short, that of 0-6 months. In 5 cases, peritoneal dissemination and other distant metastases were observed during OM surgery; R0 resection was performed in 2 cases. Postoperative complications associated with OM surgery were not observed. The median time required from the day of OM surgery to the resumption of chemotherapy was 33 days, and it was possible to resume chemotherapy early. The median survival time after OM surgery was approximately 11 months, which is considered to be owing to the influence of complications of peritoneal dissemination and other distant metastases.
在2010年1月至2020年12月期间于我院接受结直肠癌原发肿瘤切除术（PTR）的病例中，我们检查了6例涉及卵巢转移（OM）手术的病例。从PTR到OM复发的时间为2至28个月。5例行双侧卵巢切除术或双侧输卵管卵巢切除术，1例行单侧卵巢切除术。手术原因是出现症状和疾病进展。从OM复发到OM手术的时间较短，为0至6个月。5例在OM手术期间观察到腹膜播散和其他远处转移；2例行R0切除。未观察到与OM手术相关的术后并发症。从OM手术当天到恢复化疗所需的中位时间为33天，并且能够早期恢复化疗。OM手术后的中位生存时间约为11个月，这被认为是由于腹膜播散和其他远处转移并发症的影响。
