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为确定Ⅰ期上皮性卵巢癌对侧卵巢隐匿受累的发生率。回顾分析1985～1996年在Pennsylvania大学妇产科治疗,剖腹分期术时行双侧输卵管卵巢切除的所有Ⅰ期上皮性卵巢患者135例。复习其手术记录、病理报告、出院小结以证实肿瘤的分期、分级、组织学、术中所见、大体标本观和镜下病理诊断。临床隐匿对侧卵巢受侵是指剖腹分期术中外观正常的卵巢,病理证实存在卵巢肿瘤侵犯。在135例Ⅰ期卵巢癌中,118例手术记录中两侧卵巢清楚可见作为研究组。术中所见描写不详或未进行合适手术分期的17例除外。合适的分期手术应包括双侧输卵管卵巢切除,肉眼所见腹腔无转移肿瘤的描述及施行淋巴结取样活检的。
To determine the stage Ⅰ epithelial ovarian cancer contralateral ovary occlusion incidence. Retrospective analysis of 1985 to 1996 in the University of Pennsylvania obstetrics and gynecology treatment, Caesarean section during bilateral tubal ovariectomy in all patients with stage Ⅰ ovarian 135 cases. Review the surgical records, pathological reports, discharge summary to confirm the tumor staging, grading, histology, intraoperative findings, gross specimen view and microscopic pathological diagnosis. Occlusion of the contralateral ovary implicated clinically refers to the normal appearance of ovarian staging during cesarean section, the pathology confirmed the presence of ovarian tumor invasion. In 135 cases of stage I ovarian cancer, ovaries on both sides of the surgical records of 118 cases were clearly seen as the study group. Intraoperative findings were not known or did not carry out the appropriate surgical staging in 17 cases except. Appropriate staging should include bilateral salpingo-oophorectomy, intra-abdominal peritoneal non-metastatic tumor description, and biopsy of the lymph node.