探讨子宫内膜异位症相关性卵巢癌的临床病理特点.docxVIP

探讨子宫内膜异位症相关性卵巢癌的临床病理特点 大庆油田总医院163000 【摘 要】目的浅析子宫内膜异位症相关性卵巢癌的临床病理特点。 方法此次研究的对象是选择入住我院接受治疗的218例卵巢癌患者，将其临床 资料进行回顾性分析，并按照患者是否并发子宫内膜异位症将其分为卵巢癌合并 子宫内膜异位症的研究组35例，和单纯性卵巢癌的对照组183例。回顾性分析 两组患者年龄、病理类型、细胞分化以及临床病理分期。结果研究组患者比对 照组患者平均年龄小4岁(Plt;0.05)。研究组卵巢子宫内膜样癌和透明细胞癌 比例显著高于对照组(Plt;0.05)；对照组浆液性癌比例显著高于研究组 (Plt;0.05)；硏究组和对照组黏液性癌和其他类型比例差异无统计学意义 (Pgt；0.05)o研究组组织分化程度以高度和中度分化为主，对照组组织分化程 度以中度和低度分化为主。研究组临床II期显著高于对照组(Pt;0.05)；对照 组临床III期显著高于研究组(Plt;0.05)；研究组临床I期和临床IV期与对照组 比较差异无统计学意义(Pgt;0.05)o结论子宫内膜异位症相关性卵巢癌患者比 单纯性卵巢癌患者平均年龄小，恶性细胞分化程度高，临床分期靠前，病理类型 主要是卵巢了宫内膜样癌和透明细胞癌。 【关键词】子宫内膜异位症；卵巢癌；临床病理 [Abstract] Objective To analyze the clinical and pathological characteristics of ovarian carcinoma associated with endometriosis.The research object is the method of 218 cases of ovarian cancer patients admitted to our hospital for treatment, the retrospective analysis of the clinical data, and according to whether patients with endometriosis can be divided into ovarian cancer with endometriosis study group 35 cases, control and simple ovarian cancer group of 183 cases.The age, pathological type, cell differentiation and clinical stage of the two groups were analyzed retrospectively.Results compared with the control group, the study group was 4 years younger than the control group (Plt;0.05) .The proportion of ovarian en dometrioid carci noma and clear cell carci noma group was sign 讦 icantly higher tha n the control group (Plt;O.O5) ; the control group was significantly higher than the proportion of serous carcinoma group (Plt;O.O5) ; the study group and the control group of mucinous carcinoma and other types of the proportion of the differenee was not statistically significant (Pgt;0.05) .The differentiation degree of the study group was mainly in the degree of high and moderate differentiation, and the differentiation degree of the control group was moderate and low degree of differentiation.Phase II clinical study group was significantly higher than the control group (Plt;0.05) ; the control group was sig