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有人认为,有巨大能力产生肿瘤的器官,不易成为转移瘤的好发部位,这论点不适用于卵巢,卵巢可发生多种肿瘤,不少原发于乳腺和消化道的癌瘤可转移至卵巢。然而目前对此往往认识不足,因此手术时对卵巢未仔细检查,致癌遗留。本文就此问题综述。 一、发病率 源于乳腺及胃肠癌的转移性卵巢肿蝻的确切发病率,不同的作者,差别很大(见表1)。原因有:①尸检的病例肿瘤多属晚期,卵巢转移发生率较高;手术切除率则较低。②对绝经前乳癌若常规切除卵巢,其发病率可能高些,否则会低些。③有些卵巢转移,
Some people think that there is a huge capacity to produce tumors of the organ, not easy to become a good site for metastases, this argument does not apply to the ovary, ovary can occur a variety of tumors, many of the primary cancer in the breast and digestive tract can be transferred to the ovary . However, the current lack of understanding of this often, so ovarian surgery is not carefully examined, causing cancer. This article reviews the issue. First, the incidence rate from breast and gastrointestinal cancer metastatic ovarian swollen exact incidence, different authors, very different (see Table 1). The reasons are: ① autopsy cases are mostly advanced tumor, ovarian metastasis higher incidence; surgical resection rate is lower. ② Premenopausal women with breast cancer if the conventional ovarian removal, the incidence may be higher, otherwise it will be lower. ③ some ovarian metastasis,