Odariuk T S, Sevost'ianov S I, Smesova R V
Vestn Khir Im I I Grek. 1981 Feb;126(2):42-4.
Under investigation were 207 female patients with carcinoma of the rectum aged 17 to 68 subjected to bilateral ovariectomy in addition to radical operation. A control group (95 women) subjected only to radical operations for carcinoma of the rectum was also analyzed. It was found that the metastatic spreading of the rectum carcinoma into the ovaries took place in 8.2% of cases. The ovaries were established to be involved in patients with a considerable spread of the primary tumor (T3-T4) growing through all the layers of the intestine wall (P4) disposed superior to the pelvic peritoneum. The metastatic spreading into the ovaries was most frequently observed in women in the postmenopausal period. The data obtained suggest the implantation to be the most probable way of the involvement of the ovaries.
对207例年龄在17至68岁之间的女性直肠癌患者进行了研究,这些患者除根治性手术外还接受了双侧卵巢切除术。还分析了仅接受直肠癌根治性手术的对照组(95名女性)。发现直肠癌转移至卵巢的情况在8.2%的病例中发生。卵巢受累见于原发性肿瘤广泛扩散(T3 - T4)、穿透肠壁各层(P4)且位于盆腔腹膜上方的患者。绝经后女性中最常观察到转移至卵巢的情况。所获得的数据表明种植是卵巢受累最可能的途径。