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本文总结了作者单位15年中原发性输卵管癌19例的临床资料。其发病率为0.93％,平均年龄为51.7岁,有不育史者占63.1％。症状中阴道排液占63％。本组19例仅2例术前诊断。文中强调阴道排液及大量外溢这一症状,结合腹块,以及子宫腔灌洗液及阴道后穹窿涂片找癌细胞的重要性。处理方法是全子宫及二侧附件切除术,结合放射治疗和长期化疗。由于术前诊断率低,此病预后极差。本文5年存活率为50％。
This article summarizes the author’s unit 15 years of primary fallopian tube cancer clinical data of 19 cases. The incidence was 0.93%, the average age was 51.7 years, 63.1% had a history of infertility. Symptoms vaginal discharge accounted for 63%. The group of 19 cases only 2 cases of preoperative diagnosis. The article emphasizes the symptoms of vaginal discharge and a large number of spills, combined with the abdominal mass, as well as uterine cavity lavage fluid and vaginal fornix smear find the importance of cancer cells. Treatment is the whole hysterectomy and bilateral attachment resection, combined with radiotherapy and long-term chemotherapy. Due to the low preoperative diagnosis rate, the prognosis is very poor. This five-year survival rate of 50%.