CAJ | 학술논문

目的：研究子宫内膜癌患者发生卵巢转移的临床病理特点及高危因素。方法：回顾性分析1999年1月至2012年12月在泸州医学院附属医院确诊并手术治疗的161例子宫内膜癌患者的临床病理资料。结果：161例子宫内膜患者中，22例（13.66%）发生卵巢转移，年龄≤44岁患者卵巢转移发生率20.69%，年龄＞44岁患者卵巢转移发生率12.12%，非子宫内膜样癌卵巢转移率33.33%，宫颈受累及患者卵巢转移发生率36.84%。结论：病理分化程度低、深肌层浸润、浆膜受累及、宫颈受累及、淋巴结转移、大网膜转移是子宫内膜癌卵巢转移的高危因素。
목적：연구자궁내막암환자발생란소전이적림상병리특점급고위인소。방법：회고성분석1999년1월지2012년12월재로주의학원부속의원학진병수술치료적161례자궁내막암환자적림상병리자료。결과：161례자궁내막환자중，22례（13.66%）발생란소전이，년령≤44세환자란소전이발생솔20.69%，년령＞44세환자란소전이발생솔12.12%，비자궁내막양암란소전이솔33.33%，궁경수루급환자란소전이발생솔36.84%。결론：병리분화정도저、심기층침윤、장막수루급、궁경수루급、림파결전이、대망막전이시자궁내막암란소전이적고위인소。
Objective: To study the clinicopathological characteristic and risk factors of ovarian metastasis from endometrial cancer. Methods: The clinicopathological features and outcomes of endometrial carcinoma patients from January 1999 to December 2012 in our hospital were retrospectively reviewed and analyzed. Results: Among these 161 cases, 22 (13.66%)had ovarian metastasis. The incidence of ovarian metastasis in patients younger than 44 years was 20.69%, in patients older than 44 years was 12.12%. In non-endometrial adenocarcinoma patients, 33.33% had ovarian metastasis. Among patients who had cervical metastasis, 36.84%had ovarian metastasis. Conclusions: Low histological grade, deep myometrial invasion, serosa invasion, cervical involvement, pelvic lymph node metastasis, and greater omentum metastasis are high risk factors for ovarian metastasis of endometrial cancer.