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目的 :探讨卵巢癌体表淋巴结转移的影响因素的关系。方法 :回顾性分析我院 195 8~ 1995年收治的75例卵巢癌体表淋巴结转移的临床病理资料。年龄范围 2 0~ 6 5岁 ,Ⅰ~Ⅳ期分别为 5、8、2 5和 37例 ;原发灶上皮来源占 96 % ,其中浆液性腺癌占 92 % ,在治疗后出现转移的 38例中 ,术后残存肿瘤 <2cm 11例 ,>2cm 2 7例 ;治疗分别采用单纯化疗、化疗加盆腔放疗及未加辅助治疗。结果 :病理类型、病理分级、手术分期、治疗方法和残存肿瘤大小均与体表淋巴结转移有关。结论 :卵巢癌体表淋巴结转移受多因素影响 ,理想的减瘤术和辅以顺铂的多程联合化疗为主的综合治疗可延缓体表淋巴结转移
Objective: To investigate the relationship between influential factors of lymph node metastasis on the surface of ovarian cancer. Methods: A retrospective analysis of our hospital from 1995 to 1995, 75 cases of ovarian cancer surface lymph node metastasis clinical and pathological data. The age range was from 20 to 65 years old, with 5, 8, 25, and 37 cases of stage I to IV respectively. The primary epithelial origin accounted for 96%, of which serous adenocarcinoma accounted for 92%. 38 cases , Postoperative residual tumor <2cm 11 cases,> 2cm 2 7 cases were treated with chemotherapy alone, chemotherapy plus pelvic radiotherapy and without adjuvant therapy. Results: The pathological type, pathological grade, surgical staging, treatment and remaining tumor size were all related to lymph node metastasis. Conclusion: The lymph node metastasis on the surface of ovarian cancer is affected by many factors. The ideal combination of cytoreductive surgery and cisplatin combined with multislice chemotherapy can delay the metastasis of the surface lymph nodes