论文部分内容阅读
卵巢肿瘤大部分为良性,恶性占15%。后者确诊时多有其他脏器直接浸润,腹腔内播种、淋巴或血行转移。因为卵巢癌对放射线的敏感性较低,首选疗法是以手术为主的综合治疗。术后全腹照射的难度较大:一是难以控制肿瘤;一是患者能否耐受,且肾、肝、肠均对射线耐受量低。手术时肿瘤包膜有破裂者;腹主动脉旁淋巴结有转移者;转移频度较高的浆液性囊腺癌均为术后放疗适应症。经CT检查认为确有转移的部位可追加放疗。
Ovarian tumors are mostly benign, malignant 15%. The latter is diagnosed with more direct infiltration of other organs, intraperitoneal sowing, lymphatic or hematogenous metastasis. Because of the low sensitivity of ovarian cancer to radiation, the preferred therapy is based on the comprehensive treatment of surgery. Full abdominal irradiation after the more difficult: First, it is difficult to control the tumor; one patient can tolerate, and kidney, liver, intestine are low tolerance to radiation. Surgery, tumor capsule rupture; para-aortic lymph node metastasis; high frequency of serous cystadenocarcinoma are postoperative radiotherapy indications. The CT examination that there is indeed the transfer of the site can be additional radiotherapy.