Carcinoma of the ovary
Carcinoma of the ovary
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DOI：
10.1016/s0020-7292(03)90118-4
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发表时间：
2003-10-01
影响因子：
3.8
通讯作者：
Pecorelli, S
中科院分区：
文献类型：
--
作者：
Heintz, APM;Odicino, F;Pecorelli, S
卵巢癌是通过手术分期的。该疾病应有组织学证实。手术结果，在肿瘤缩小之前，确定分期，这可以通过组织病理学以及临床或放射学评估来修改。剖腹手术和切除卵巢肿块以及子宫切除术是分期的基础。所有可疑部位，如网膜、肠系膜、肝脏、横膈膜、骨盆和主动脉旁淋巴结，都需要活检。手术后的最终组织学结果（以及可用的细胞学结果）应在分期中加以考虑。临床研究包括常规胸部放射学检查。影像学检查和血清肿瘤标志物可能有助于肿瘤的初始分期和随访。
Ovarian cancer is staged surgically. There should be histologic confirmation of the disease. Operative findings, prior to tumor debulking, determine stage, which may be modified by histopathologic as well as clinical or radiological evaluation. Laparotomy and resection of the ovarian mass, as well as hysterectomy, form the basis for staging. Biopsies of all suspicious sites, such as omentum, mesentery, liver, diaphragm, pelvic and paraaortic nodes, are required. The final histologic findings after surgery (and cytologic ones when available) are to be considered in the staging. Clinical studies include routine radiology of the chest. Imaging studies and serum tumor markers may be helpful in both initial staging and follow-up of the tumors.