Ng P, Lawton F
Department of Obstetrics and Gynaecology, King's College Hospital, Denmark Hill, London, United Kingdom.
Ann Acad Med Singap. 1998 Sep;27(5):693-7.
Although a common site of metastases, primary fallopian tube carcinoma comprises only 0.3% of all gynaecological malignancies. Presenting symptoms are variable and non-specific, with preoperative diagnosis rarely entertained. The FIGO system assigns nearly two-thirds of patients to stage I or II and is based on surgical staging criteria similar to those for ovarian cancer. Likewise, management is based on that for ovarian cancer-radical debulking followed by platinum-based combination chemotherapy. Five-year survival for patients with disease confined to the tube at diagnosis (stage I) is only about 60% and only 10% of patients with advanced disease will be cured.
尽管输卵管是转移的常见部位，但原发性输卵管癌仅占所有妇科恶性肿瘤的0.3%。其临床表现多样且不具特异性，术前很少考虑进行诊断。国际妇产科联盟（FIGO）系统将近三分之二的患者归为Ⅰ期或Ⅱ期，该分期基于与卵巢癌相似的手术分期标准。同样，治疗方法也基于卵巢癌的治疗——根治性肿瘤细胞减灭术，随后进行铂类联合化疗。诊断时疾病局限于输卵管（Ⅰ期）的患者5年生存率仅约为60%，晚期疾病患者只有10%能被治愈。
