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13 cases of normal size analysis of ovarian cancer syndrome


Such as the diagnostic criteria used HATA ...: ① The abdominal examination revealed widespread metastatic abdominal,[link widoczny dla zalogowanych], ovarian normal size, the surface with or without vegetation; ② surgical exploration and preoperative imaging studies were not found in the original lesion; ③ surgery pathological examination after the 19 primary ovarian cancer or to unknown organ metastasis; ④ preoperative chemotherapy for ovarian cancer had received radiation therapy, recently have not been involved in the implementation of ovarian surgery. In this paper 13 cases are in line with the diagnostic criteria. NOCS also include at least 4 pathological types: Q skin tumors, extragonadal Mullerian tumor, metastatic tumors of unknown origin and primary small ovarian cancer J. The small group of patients with primary ovarian cancer mainly,[link widoczny dla zalogowanych], only one had metastatic cancer. Small primary ovarian cancer to women over the age 5O high, with an average age 6o. 3 years j, the group of patients for an average of 54 years. Patients in the abdominal distension, abdominal circumference increased, as the first symptom of poor appetite, nonspecific, signs with ascites and pelvic mass-based,[link widoczny dla zalogowanych], relying on preoperative imaging Gynecological Examining and difficult to find. In addition to a case of metastatic carcinoma of CA125, the base is increased, and increased significantly. Intraoperative findings of ovarian normal size, the surface may have nodular neoplasm, but has extensive abdominal tumors grow. Therefore, to have abdominal distension and ascites and other symptoms, can not ignore the NOCS, can be more proud of B-(especially B-), CT, and the CA125 blood test and other tumor markers. If the diagnosis remains difficult, consider laparoscopy the diagnosis, because now laparoscopic techniques has gradually gained popularity, and has matured and safety of laparoscopic surgery, would be a good way to confirm the diagnosis. NOCS treatment should be based cytoreductive surgery, as removal of lesions within the abdominal cavity, surgical resection is generally the scope of total hysterectomy, two attachments, the greater omentum and the line of cytoreductive surgery, as no residual tumor or postoperative residual tumors 2500Io1), 3-4 Monday of each treatment, the patient can accept the basic and continuing . NOCS most of the patients died within 2 years after diagnosis, many factors affect the prognosis, in addition to the satisfaction of cytoreductive surgery and systemic chemotherapy, the disease type, clinical stage correlated with the prognosis. 3 cases of this group of patients lost, 1 patient died 34 months. The remaining 9 patients were followed up to February 2009 are still alive, after 3 to 36 months, and 4 were recurrence or distant metastasis. Postoperative blood CA125 value is a good monitoring indicators, most of the group of patients 1-4 months after surgery to normal CA125 value in tumor recurrence or distant metastasis Shiyou increased. Therefore, elevated preoperative CA125, CA125 can evaluate postoperative monitoring of blood after treatment, indicating tumor recurrence, but also guide the adjustment of medication. In general, NOCS difficult early detection, symptoms are not specific, and the present, many clinicians know little of NOCS, it is easily missed diagnosis and misdiagnosis, resulting in delayed diagnosis. 5 cases of this group of patients before treatment by medical or surgical treatment, and finally found NOCS, so for patients with unexplained abdominal distension and ascites, in addition to general imaging, do not forget to check the CA125 and other tumor markers,[link widoczny dla zalogowanych], CA125 and other tumor markers,[link widoczny dla zalogowanych], if increased, although not find the reason, bilateral annex no mass, but also attach great importance to NOCS, early laparotomy or laparoscopy, to avoid adversely affected by illness.
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