摘要
目的：通过对子宫内膜及卵巢原发性双癌与子宫内膜癌卵巢转移的对比研究，分析这两种疾病的一般情况、临床特征、病理结果、治疗及预后情况。方法回顾性分析2000年1月至2015年1月在山西省肿瘤医院妇科被诊断为子宫内膜及卵巢原发性双癌患者24例（原发性双癌组）及子宫内膜癌卵巢转移患者27例（转移癌组）的临床资料。结果原发性双癌组与转移癌组患者在年龄、绝经与否、首发症状、腹腔积液、脉管癌栓、肿瘤分化程度、淋巴结转移、预后方面比较，差异均有统计学意义（均P＜0.05）。原发性双癌组患者年龄较小，大多数患者未绝经，首发症状以盆腔包块和腹痛为主，较少存在腹腔积液，大多未见脉管癌栓侵犯，肿瘤分化程度较好，淋巴结转移少见。原发双癌组预后较转移癌组好。结论子宫内膜及卵巢原发性双癌患者比子宫内膜癌卵巢转移患者年龄小，且早期患者较多，应防止对其过度治疗。子宫内膜及卵巢原发性双癌患者比子宫内膜癌卵巢转移患者有更好的预后。
Objective To compare the synchronous primary endometrial and ovarian carcinomas with primary endometrial cancer with ovarian metastasis through analysis the general condition, clinical features, pathologic result,treatment and the prognosis of the two diseases. Methods 24 patients with synchronous primary endometrial and ovarian carcinomas and 27 patients with primary endometrial cancer with ovarian metastasis in Shanxi Cancer Hospital from January 2000 to January 2015 were collected. Results There were statistical significance among age, menopause or not, clinical symptoms, ascites, vascular tumor emboli, tumor differentiation, lymph node metastasis and the prognosis between the two groups （all P〈 0.05）. The patients with synchronous primary endometrial and ovarian carcinomas were younger, had pelvic mass and stomachache, less ascites, no vascular tumor emboli, well tumor differentiation, no lymph node metastasis. They had better prognosis compared with patients with primary endometrial cancer with ovarian metastasis. Conclusions Patients with synchronous primary endometrial and ovarian carcinomas are younger than patients with primary endometrial cancer with ovarian metastasis,and more early stage, the excessive treatment should be prevented. They have better prognosis compared with patients with primary endometrial cancer with ovarian metastasis.
出处
《肿瘤研究与临床》
CAS
2015年第9期617-619,634,共4页
Cancer Research and Clinic
关键词
原发性双癌
子宫内膜肿瘤
卵巢肿瘤
肿瘤转移
Synchronous primary cancer
Endometrial neoplasms
Ovarian neoplasms
Neoplasm metastasis
