Mann W J
Riverside Regional Medical Center, Newport News, Virginia.
Am Fam Physician. 1994 Feb 15;49(3):613-8.
Epithelial ovarian cancer is a lethal disease that is asymptomatic in the early stages and a diagnostic problem even in an advanced stage. Aggressive cytoreductive surgery ("debulking"), followed by intensive multiagent chemotherapy, offers the best chance of cure or prolonged survival. "Second-look" surgery is appropriate for select patients, and radiotherapy may be useful in a small number of patients. Terminal care focuses on nutrition support, pain control and symptomatic management of recurrent ascites and bowel obstruction.
上皮性卵巢癌是一种致命疾病，早期无症状，即使在晚期也存在诊断难题。积极的细胞减灭术（“肿瘤减灭术”），随后进行强化多药化疗，提供了治愈或延长生存期的最佳机会。“二次探查”手术适用于特定患者，放疗可能对少数患者有用。终末期护理重点在于营养支持、疼痛控制以及复发性腹水和肠梗阻的对症处理。
