CAJ | 학술논문

目的：探讨子宫内膜异位症相关卵巢癌（EAOC）的临床特点，为其早期预防、诊断、治疗提供参考。方法对我院2010年3月～2015年3月收治的48例EAOC患者和60例单纯性卵巢癌患者的临床资料进行回顾性分析，将48例EAOC患者记为研究组，60例单纯性卵巢癌患者记为对照组，比较两组患者就诊年龄、孕产次数、临床症状、血CA 125值以及组织学分类分级情况。结果研究组就诊年龄相比对照组偏小，孕产次数无差异；研究组阴道不规则出血的发生率为25.0%要高于对照组的2.3%；研究组分期多为早期（I和II期），中高度分化，对照组患者多为III期，轻度分化；研究组血CA 125值多＜150 U/ml，对照组血CA 125值大都＞150 U/ml。结论子宫内膜异位症相关卵巢癌临床特点是发病年龄早，临床分期早，分化程度高，出现阴道不规则出血机率大，血CA 125值小。
목적：탐토자궁내막이위증상관란소암（EAOC）적림상특점，위기조기예방、진단、치료제공삼고。방법대아원2010년3월～2015년3월수치적48례EAOC환자화60례단순성란소암환자적림상자료진행회고성분석，장48례EAOC환자기위연구조，60례단순성란소암환자기위대조조，비교량조환자취진년령、잉산차수、림상증상、혈CA 125치이급조직학분류분급정황。결과연구조취진년령상비대조조편소，잉산차수무차이；연구조음도불규칙출혈적발생솔위25.0%요고우대조조적2.3%；연구조분기다위조기（I화II기），중고도분화，대조조환자다위III기，경도분화；연구조혈CA 125치다＜150 U/ml，대조조혈CA 125치대도＞150 U/ml。결론자궁내막이위증상관란소암림상특점시발병년령조，림상분기조，분화정도고，출현음도불규칙출혈궤솔대，혈CA 125치소。
Objective To investigate the endometriosis related ovarian cancer (EAOC) clinical characteristics, for early prevention, diagnosis and treatment reference.Methods Selected 48 cases EAOC clinical data from March 2010 to March 2015 in our hospital, 60 cases of simple ovarian cancer patients were retrospectively analyzed 48 cases will be referred to as EAOC patient study group, 60 cases of simple ovarian cancer referred to as the control group, two groups were compared mean age, motherhood times, clinical symptoms, serum CA 125 values and histological classification and grading situation.ResultsThe mean age of patients was significantly compared to the control group of patients is too small, no significant differences in the number of pregnancy; irregular vaginal bleeding patient study group was 25.0% incidence washigher than 2.3% of patients, the study group of patients mostly early stage (I and II), the highly differentiated, the control group patients were stage III, mild differentiation, the study group serum CA 125 value more<150 U/ml, serum CA 125 level in the control group of patients, most>150 U/ml.Conclusion Endometriosis is associated clinical characteristics of ovarian cancer early age of onset, clinical stage early, high degree of differentiation, the probability of large irregular vaginal bleeding, blood CA 125 valuesand small.