目的　探讨有卵巢转移的乳腺癌患者的临床病程特点。方法　回顾性分析 195 8年～ 1990年 17例患者的临床资料。结果　从开始治疗原发肿瘤到卵巢转移确诊的中位生存期为 17个月 ;卵巢转移确诊后中位生存期为 16个月 ;1、3、5年的生存率分别为 68.8%、2 3 .0 %和 5 .9%。原发肿瘤诊断时的年龄、腋淋巴结状态、无瘤生存时间的长短及是否同时有卵巢外其他部位的转移等因素均影响患者的预后。结论　有卵巢转移的乳腺癌患者的预后很差 ,综合治疗可能是其最佳的治疗方法。 Objective To investigate the clinical course characteristics of breast cancer patients with ovarian metastases. Methods The clinical data of 17 patients from 195 to 1990 were analyzed retrospectively. Results The median survival time from the initial treatment of primary tumors to the diagnosis of ovarian metastasis was 17 months; the median survival time after diagnosis of ovarian metastasis was 16 months; the survival rates at 1, 3, and 5 years were 68.8% and 2 3, respectively. .0 % and 5.9%. The age of the primary tumor, the status of the axillary lymph nodes, the length of the disease-free survival time, and whether there are other parts of the ovary outside the metastasis also affect the patient’s prognosis. Conclusion The prognosis of breast cancer patients with ovarian metastasis is poor, and comprehensive treatment may be the best treatment.