CAJ | 학술논문

目的：探讨56例消化道来源卵巢转移性肿瘤的临床病理特征。方法选择56例消化道来源卵巢转移性肿瘤患者（印戒细胞癌30例，腺癌26例），对其资料行回顾式分析，总结临床病理特征。结果研究发现消化道的原发灶主要为胃与结直肠，腺癌主要来源结直肠，印戒细胞癌多来源胃，双侧卵巢转移以印戒细胞癌居多，腺癌较少，二者比较，差异经处理有显著统计学意义（P＜0.05），免疫组化CK7表达阳性方面，印戒细胞癌与腺癌比较，差异有明显统计学意义（P＜0.05），CK7（+）/CK20（+）方面，印戒细胞癌与腺癌二者比较，差异经分析有显著统计学意义（P＜0.05），CK7（-）/CK20（+）方面，印戒细胞癌与腺癌二者比较，经统计学检验，差异无统计学意义（P＞0.05）。结论由结果见，印戒细胞癌多来源胃，免疫组化多见CK7（+）/CK20（+），多发生双侧卵巢转移，腺癌多来源结直肠，免疫组化多见CK7（-）/CK20（+）。
목적：탐토56례소화도래원란소전이성종류적림상병리특정。방법선택56례소화도래원란소전이성종류환자（인계세포암30례，선암26례），대기자료행회고식분석，총결림상병리특정。결과연구발현소화도적원발조주요위위여결직장，선암주요래원결직장，인계세포암다래원위，쌍측란소전이이인계세포암거다，선암교소，이자비교，차이경처리유현저통계학의의（P＜0.05），면역조화CK7표체양성방면，인계세포암여선암비교，차이유명현통계학의의（P＜0.05），CK7（+）/CK20（+）방면，인계세포암여선암이자비교，차이경분석유현저통계학의의（P＜0.05），CK7（-）/CK20（+）방면，인계세포암여선암이자비교，경통계학검험，차이무통계학의의（P＞0.05）。결론유결과견，인계세포암다래원위，면역조화다견CK7（+）/CK20（+），다발생쌍측란소전이，선암다래원결직장，면역조화다견CK7（-）/CK20（+）。
Objective To explore 56 cases of gastrointestinal origin of metastatic ovarian cancer clinical and pathological features.Methods To choose the 56 cases of gastrointestinal origin metastatic ovarian cancer patients,(30 cases of signet ring cell carcinoma, adenocarcinoma, 26 cases), its columns retrospective analysis, summarized the clinical and pathological features. Results The Study found that primary tumors of the digestive tract primarily for stomach and colorectal adenocarcinoma, colorectal main source, signet ring cell carcinoma of the stomach from multiple sources, bilateral ovarian metastasis to the majority of signet ring cell carcinoma, adenocarcinoma less, in comparison, there are differences between the treated statistically significant(P<0.05), immunohistochemical expression of CK7 positive aspects, signet ring cell carcinoma and adenocarcinoma, the difference was statistically significant(P<0.05), CK7(+)/CK20(+), the signet ring cell carcinoma and adenocarcinoma difference between the two have been analyzed statistically significant(P<0.05), CK7(-)/CK20(+)side, signet ring cell carcinoma and adenocarcinoma comparison between the two The statistical test, the difference was not statistically significant(P>0.05).Conclusion The results see, signet ring cell carcinoma stomach multiple sources, immunohistochemistry common CK7(+)/CK20(+), bilateral ovarian metastasis occurred, multiple sources of colorectal adenocarcinoma, immunohistochemistry common CK7 (-)/CK20(+).