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題 名 | 源自胃癌的克魯根堡氏瘤:十年臨床經瞼=Krukenberg Tumor from Gastric CA: Ten Years Clinical Experience |
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作 者 | 林慶忠; 王蒼恩; 林錫泉; 高進祿; 施壽全; 周孫衍; 張國明; | 書刊名 | 內科學誌 |
卷 期 | 10:2 1999.04[民88.04] |
頁 次 | 頁66-70 |
分類號 | 415.527 |
關鍵詞 | 克魯根堡氏瘤; 胃癌; Krukenberg tumor; Gastric cancer; CA 125; |
語 文 | 中文(Chinese) |
中文摘要 | 克魯根堡氏瘤是指癌細胞轉移至卵巢,大部份是由胃癌轉移所致,而此原發部位 常須等到癌症擴散之後才被發現,且大多數病患存活不到一年。本篇主要探討與源自於胃癌 的克魯根堡氏瘤其臨床表現,病理特點及存活時間。 從1988年6月到1998年6月,十年間本院經病理診斷克魯根堡氏瘤與胃癌相關的患者 共有十六例,其中十二例由胃鏡切片檢查證實為胃癌,兩例是由手術後病理發現為胃癌,兩 例是由過去病史得知,分析其年齡,臨床症狀,手術記錄,胃鏡報告,腫瘤指數及診斷時間 與存活時間的關係。 這十六位病患在診斷克魯根堡氏瘤的平均年齡為44歲。有11位是停經前期,最常出現 的症狀是可摸到的腹腔內腫瘤,其次為下腹脹滿,月經不規則,其它如腹痛,食慾減退,體 重減輕等。根據手術記錄,大多數兩側卵巢皆有轉移,且有腹水產生,其中最多者有9000cc。 胃鏡報告診斷胃癌者有十二例,其病理組織切片形態全部為瀰漫型(diffuse type)。胃癌在 克魯根堡氏瘤診斷之前發現者有五例佔(31%),胃癌與克魯根堡氏瘤於住院同時發現者(含一 個月之內)共十例佔(62%),而在克魯根堡氏瘤之後發現者只有一例。全體克魯根堡氏瘤的存 活時間,最少0.8個月,最多19.6個月,平均存活時間5.7個月(中位數4個月)。腫瘤指 數CEA,大部分接近正常範圍,而CA125在診斷克魯根堡氏瘤同時或之後發現胃癌者,其數 值與存活時間呈負相關。 |
英文摘要 | Most of the Krukenberg tumor are metastasized from the gastric carcinoma, and the primary lesions are usually not discovered until the disease is advanced, and most patients die of their disease within one year. The purpose of our study is to analysis clinical manifestation, pathologic finding and the relation and survival of Krukenberg tumor from the gastric carcinoma. The pathology records of the Mackay Memorial Hospital were searched from 1988 to 1998 inclusive. The case notes of 16 patients with Krukenberg tumors were studied to determine the age, clinical finding, operation record, panendoscopy record, tumor marker and survival. The patient's mean age were 44 years, 11 cases were premenopausal, and palpable mass was the most frequent presenting complaint, abdominal swelling being second, menstrual irregularities and abdominal pain, poor appetite occurred infrequently. According to operation record, tumors tended to be bilateral and associated with ascites; the maximal volume was 9000 cc, there were 12 cases diagnosed gastric CA by panendoscopy, and there are 8 case's lesion over the body and 4 case's lesion over the antrum. Gastric CA had been diagnosed before Krukenberg tumor in 5 cases, and synchronously diagnosed in 10 cases, only one case was not discovered until after the Krukenberg tumor had been treated. The mean survival time from diagnosis was 5.7 months (range 0.8-19.6 months). The CEA level of most cases were near normal limit, but CAl25 serum level negative correlated with survival time in the groups of synchronously or delayed diagnosed patients. |
本系統中英文摘要資訊取自各篇刊載內容。