| 宋学军,于爱军.年轻子宫内膜癌患者卵巢转移的危险因素分析[J].中国肿瘤,2013,22(7):592-595. |
| 年轻子宫内膜癌患者卵巢转移的危险因素分析 |
| An Analysis on Risk Factors of Ovarian Metastasis in Young Patients with Endometrial Carcinoma |
| 投稿时间：2013-01-16 |
| DOI：10.11735/j.issn.1004-0242.2013.07.A016 |
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| 中文关键词: 子宫内膜癌 年轻 卵巢转移 危险因素 |
| 英文关键词:endometrial carcinoma young ovarian metastasis risk factor |
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| 中文摘要: |
| 摘 要：［目的］ 探讨年轻子宫内膜癌患者发生卵巢转移的危险因素。［方法］ 回顾性分析 2000年1月至2011年12月住院的年龄≤45岁的85例子宫内膜癌患者的临床病理资料。［结果］ 85例年轻子宫内膜癌患者中，7例发生卵巢转移。卵巢转移发生率为8.23%（7/85）。单因素分析显示，年轻子宫内膜癌患者发生卵巢转移的危险因素为肿瘤大体类型、子宫肌层浸润、脉管瘤栓、输卵管转移和阴道受侵(P均＜0.05)。［结论］ 保留卵巢能提高年轻子宫内膜癌患者的生活质量。年轻子宫内膜癌患者在进行彻底手术病理分期，确定无卵巢隐性转移及卵巢转移高危因素后，可以选择保留卵巢，并应对保留卵巢患者严密随访。 |
| 英文摘要: |
| Abstract:［Purpose］ To investigate the risk factors for ovarian metastasis in young patients with endometrial carcinoma. ［Methods］ The clinicopathological features of 85 young cases(years old ≤45) with endometrial carcinoma hospitalized from January，2000 to December，2011 were retrospectively reviewed. ［Results］ Of 85 cases，7 cases had ovarian metastasis with occurrence rate of ovarian metastasis 8.23%(7/85). Univariate analysis revealed that gross morphology，myometrial invasion，lymphovascular space invasion，tubal metastasis，vaginal invasion were significantly associated with ovarian metastasis(P＜0.05). ［Conclusion］ Ovarian preservation could improve the quality of life for young patients with endometrial carcinoma. Young patients with endometrial carcinoma，hysterectomy with ovarian preservation could be the optional treatment if a thorough surgical staging is conducted and no occult metastasis or no high risk factor of metastasis are present. |
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