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卵巢癌的主要转移方式以盆,腹腔播散为主,脾脏转移实属罕见。本文报道一例卵巢浆液性囊腺癌治疗后五年脾脏转移。患者李××,41岁,已婚,农民,住院号2148,因腹部肿块合并腹水于79年6月6日在本院行剖腹探查术。术中见血性腹水约4500ml,双侧卵巢均增大约男拳大小,囊壁破溃,菜花状,肿瘤与盆腔腹膜,膀胱,直肠广泛粘连。行子宫及双侧附件,大网膜切除术,及髂外淋巴结摘除术。术后病理证实为卵巢浆液性乳头状囊腺癌伴子宮体及大网膜转移。术后腹腔灌注消瘤芥每五天一次每次60
The main mode of ovarian cancer to pelvic disseminated mainly spleen metastasis is rare. This article reports a case of ovarian serous cystadenocarcinoma five years after treatment of splenic metastasis. Patient Li × ×, 41 years old, married, farmer, hospital number 2148, as abdominal mass with ascites on June 6, 79 in our hospital laparotomy. Intraoperative blood see about 4500ml of ascites, bilateral ovaries were increased by about male size, wall rupture, cauliflower, tumor and pelvic peritoneum, bladder, rectum extensive adhesion. Line uterus and bilateral attachment, omental resection, and external iliac lymph node removal. Postoperative pathology confirmed ovarian serous papillary cystadenocarcinoma with uterine and omental metastasis. Intraperitoneal infusion of tumor mustard once every five days every 60