Chahtane A, Dehayni M, Ferhati D, Rhrab B, Lakhdar A, Kharbach A, Chaoui A
Clinique Universitaire de Gynécologie-Obstétrique, Rabat, Maroc.
Rev Fr Gynecol Obstet. 1993 May;88(5):321-4.
The authors report a series of nine cases of Krukenberg's tumor, operated at the university clinic of obstetric gynecology (Professor Chaoui) during a period from 1977 to 1990. They underline the metastatic character of this tumor, whose primitive lesion is very often digestive. In most cases, the diagnosis is set late by histological study of the operatory piece, showing the revealing character of this tumor. All the authors agree upon the very dark prognostic of this tumor. The only hope of improvement lies in an extraction as soon as possible of the primitive tumor, followed by a radical treatment of the ovarian tumor. The contribution of complementary treatment is questionable; however, adjuvant chemotherapy keeps a positive efficacy, according to certain authors. The authors deplore one death in keeping with a late diagnosis.
作者报告了1977年至1990年期间在大学妇产科诊所(肖维教授)接受手术的9例库肯勃瘤病例。他们强调了这种肿瘤的转移特性,其原发灶往往是消化系统的。在大多数情况下,通过对手术标本的组织学研究很晚才做出诊断,这显示了这种肿瘤的特征性表现。所有作者都认同这种肿瘤的预后非常悲观。改善的唯一希望在于尽快切除原发肿瘤,随后对卵巢肿瘤进行根治性治疗。辅助治疗的作用值得怀疑;然而,根据某些作者的观点,辅助化疗仍有积极疗效。作者对因诊断延迟导致的1例死亡表示遗憾。