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目的总结我院卵巢恶性肿瘤的治疗情况。方法对我院1993年￣2004年12年以来收治的11例卵巢恶性肿瘤进行回顾分析。结果患者年龄最小15岁,最大64岁,均经手术病检确诊。按组织学分类:黏液性囊腺癌1例,浆液性囊腺癌1例,颗粒细胞瘤1例,无性细胞瘤1例,胚胎癌1例,内胚窦瘤2例,未成熟畸胎瘤2例,转移性囊腺癌2例。临床分期Ⅰ期8例,Ⅱ期2例,Ⅲ期1例。治疗为手术加化疗。5例行腹腔化疗,5例静脉给药化疗,另1例术后拒绝化疗。接受化疗10例现存活9例,生存最长已12年,1例Ⅲ期转移性癌症患者于术后8个月死亡。结论卵巢恶性肿瘤早期诊断是达到良好疗效的关键;手术加化疗是卵巢恶性肿瘤治疗的主要手段;随访制度的坚持是总结卵巢恶性肿瘤治疗经验不可缺少的环节。
Objective To summarize the treatment of ovarian cancer in our hospital. Methods A retrospective analysis was performed on 11 cases of ovarian malignancies admitted to our hospital from 1993 to 2004. Results The patient was the youngest 15 years old, maximum 64 years old, were confirmed by surgical disease examination. Histological classification: mucinous cystadenocarcinoma in 1 case, serous cystadenocarcinoma in 1 case, granulosa cell tumor in 1 case, dysgerminoma in 1 case, embryo carcinoma in 1 case, endodermal sinus tumor in 2 cases, immature teratoma 2 cases, 2 cases of metastatic cystadenocarcinoma. There were 8 cases in stage Ⅰ, 2 in stage Ⅱ and 1 in stage Ⅲ. Treatment for surgery plus chemotherapy. 5 cases of intraperitoneal chemotherapy, 5 cases of intravenous chemotherapy, the other 1 case refused chemotherapy. Ten patients survived chemotherapy in 9 cases, the longest survival of 12 years, 1 case of stage Ⅲ metastatic cancer patients died after 8 months. Conclusion The early diagnosis of ovarian cancer is the key to achieve good effect. Surgical plus chemotherapy is the main means of ovarian cancer treatment. The adherence of follow-up system is an indispensable part to summarize the experience of ovarian cancer treatment.