子宫内膜异位症合并卵巢恶性肿瘤的临床特点

付晨薇; 郎景和; 沈铿; 黄慧芳; 潘凌亚; 吴鸣; 杨佳欣

doi:10.3969/j.issn.1674-9081.2012.02.016

子宫内膜异位症合并卵巢恶性肿瘤的临床特点

Characteristics of Patients with Endometriosis and Ovarian Cancer

摘要

摘要:
目的探讨子宫内膜异位症合并卵巢恶性肿瘤的临床特点。
方法对北京协和医院1997年1月至2009年4月间收治的子宫内膜异位症合并卵巢恶性肿瘤的患者共33例进行回顾性分析, 并总结其临床特点。
结果 33例子宫内膜异位症合并卵巢恶性肿瘤患者的平均年龄为45.3岁; 病理类型以透明细胞癌为主; 诊断时分期多为Ⅰ期(24/33);5例患者同时又合并子宫内膜病变; 子宫内膜异位症病灶位于卵巢者19例, 位于卵巢外者14例; 术后5年生存率为60%, 平均无瘤生存期为41.9个月。
结论子宫内膜异位症合并卵巢恶性肿瘤患者发病年龄较卵巢癌患者年轻, 病理类型以卵巢上皮性肿瘤为主, 透明细胞癌最为常见, 可同时合并有在位子宫内膜肿瘤。合并子宫内膜异位症可能是卵巢癌预后好的指标。

Abstract:
Objective To explore the characteristics of patients with endometriosis and ovarian cancer.
Methods We retrospectively analyzed the clinical characteristics of 33 patients with endometriosis and ovarian cancer treated in Peking Union Medical College Hospital from January 1997 to April 2009.
Results The average age of 33 patients with endometriosis and ovarian cancer was 45.3 years. Most patients had ovarian clear cell cancers. Twenty-four patients were at stage Ⅰ when they were diagnosed as ovarian cancer. Five patients combined with endometrial lesions. Nineteen cases had the endometriotic lesion in ovarian, while 14 cases outside of ovary. The average five-year survival rate was 60% and the average tumor-free survival time was 41.9 months.
Conclusions Patients with both ovarian cancer and endometriosis are younger than those without endometriosis. The pathological types of ovarian cancer are usually epithelial cancers, especially clear cell cancer, sometimes combined with endometrial cancer. Endometriosis might be an indicator of better prognosis for patients with ovarian cancer.

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