探讨子宫内膜异位症相关性卵巢癌的临床病理特点

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1、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。方法此次研宄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(P<0.05)o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(P&l

2、t;0.05)；对照组浆液性癌比例显著高于研究组(P<0.05)；研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(P>；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(P<0.05)；对照组临床III期显著高于研究组(P<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(P>0.05)。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，

3、病理类型主要是卵巢子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]ObjectiveToanalyzetheclinicalandpathologicalcharacteristicsofovariancarcinomaassociatedwithendometriosis.Theresearchobjectisthemethodof218casesofovariancancerpatientsadmittedtoourhospitalfortreatment，ther

4、etrospectiveanalysisoftheclinicaldata,andaccordingtowhetherpatientswithendometriosiscanbedividedintoovariancancerwithendometriosisstudygroup35cases，controlandsimpleovariancancergroupof183cases.Theage，pathologicaltype，celldifferentiationandclinicalstageofthe

5、twogroupswereanalyzedretrospectively.Resultscomparedwiththecontrolgroup,thestudygroupwas4yearsyoungerthanthecontrolgroup(P<0.05).Theproportionofovarianendometrioidcarcinomaandclearcellcarcinomagroupwassignificantlyhigherthanthecontrolgroup(P<O.O5);the

6、controlgroupwassignificantlyhigherthantheproportionofserouscarcinomagroup(P<O.O5);thestudygroupandthecontrolgroupofmucinouscarcinomaandothertypesoftheproportionofthedifferencewasnotstatisticallysignificant(P>0.05).Thedifferentiationdegreeofthestudygro

7、upwasmainlyinthedegreeofhighandmoderatedifferentiation，andthedifferentiationdegreeofthecontrolgroupwasmoderateandlowdegreeofdifferentiation.PhaseIIclinicalstudygroupwassignificantlyhigherthanthecontrolgroup(P<0.05);thecontrolgroupwassignificantlyhigherth

8、anthatofthephaseIIIclinicalstudygroup(P<0.05);therewasnosignificantdifferencebetweenthegroupsofclinicalstageandclinicalstageandcontrolgroup(P>O.O5).Conclusionendometriosisassociatedovariancancerp