OVARIAN CANCER

Common complications of ovarian cancer tumor rupture, hemorrhage, secondary infection, anemia, cancer of the intestine cancer and intestinal infarction colic.

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Disseminated and metastasis 1. Transfer of malignant ovarian tumor growth and metastasis, and other parts of the same direct spread of cancer, and the lymphatic and blood way. But the transfer spread mainly by direct more directly transferred to pots, abdominal organs and organizations, or transfer of Tai omentum, mesenteric, in a number of intraperitoneal nodular mass, a certain degree of mobility; Peritoneal or transferred to the pelvic floor in the vaginal fornix after palpation, palpable in the womb may have rectal Waterloo a papillary protrusions, even penetrating pelvic viscera, a sinus, and the rectum,; a vaginal or urethral cancer tissue from the pus and bleeding. Ovarian cancer found in the lymph node metastasis rate as high as 50%, or even transferred to the left supraclavicular lymph nodes, or perineum, is in the diagnosis and treatment of ovarian cancer, attention. 2. Common vicious invasion on the side of the fixed pelvic advanced malignant ovarian tumors, resulting in partial perivascular infiltration oppression, to the side of lower extremity venous disruption, edema formation. If the intestine of oppression by the vicious invasion, caused obstruction symptoms; Ureteral pressure, often the hydronephrosis. Phase I clinical Asia ovarian cancer metastasis Positions The number of cases Transfer rate (%)

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1. Bilateral abdominal tumor malignant ovarian tumor growth, both accounting for 75%, and bilateral benign ovarian tumor was only 15%.

2. Mass fixed One of the characteristics of ovarian cancer.

3. Although ascites benign ovarian tumors such as fibroids or papillary also cystadenoma with ascites, malignant ovarian tumor with ascites more, and because of the cancer cell wall or piercing has been transferred to peritoneal (Head seized observation or examination), a sustained bloody ascites.

4. Cachexia course of a long delay, due to long-term consumption, loss of appetite and weight loss sexual performance, fatigue, malaise and cachexia symptoms.

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Most of the malignant ovarian tumors, radiation therapy for various effects are poor. Therefore, in the treatment of malignant ovarian tumor was not first consider radiotherapy. After laparotomy confirmed to be malignant ovarian tumor resection not all, in vitro viable X-ray irradiation. But many of ascites are not OK radiotherapy; The abdominal tumor metastasis to the effect of not limited to those within the pelvic cavity. X-ray irradiation is also used in vitro malignant ovarian tumor before and after surgery. Preoperative radiotherapy for patients with radiation therapy after the word four to six weeks should surgery again night, while radiation caused by adhesions, surgery often caused difficulties. Surgery will be in regular radiation treatment after two weeks before and after the start, such as whole body ill patients should first correct.
(1), abdominal irradiation radiation field including full pots of abdominal viscera, or by Ono divided into two to four vertical irradiation of Ono, tumor dose of 25 Gy ~ / 6 to 8 weeks. General liver, kidney tolerance were 30 Gy and 18 Gy, such as the super-dose, should shielding protection. Whole abdominal irradiation after Ono, the largest general tolerance of 30 Gy / 6 to 7 weeks. This dose is not LD50 of ovarian cancer, while Ono irradiation reaction, difficult patient tolerance. Delcios in 1963, a fully mobile strip abdominal irradiation in the treatment of ovarian cancer. Each abdominal irradiation of 10 cm, radiation field from the upward movement in the entire basin to include abdominal, each irradiation in 12 days. Tumor radiation dose of 26 to 28 Gy. The biological effects of radiation and improve the patient's response to radiotherapy.
(2), pelvic tumor irradiation dose of 40 to 60 Gy, 6 to 8 weeks to complete.
(3), plus whole abdominal pelvic irradiation Ono whole abdominal irradiation may be, or transfer surgery strip irradiation dose with the former. Pelvic organ tolerance, to improve efficacy, and pelvic irradiation dose of 20 to 30 Gy, ovarian cancer is the commonly used method.
(4), abdominal radionuclide therapy for patients early preventive treatment, and only a small residual tumor after treatment. Surgery not cut net of malignant ovarian tumor metastases can be injected with the radioactive colloid 98 or 32 P, or diluted with saline injected into the abdominal cavity to prevent cancer formation of ascites, malignant ovarian cancer has been with ascites, the catheter may produce ascites part, to be injected colloidal gold 98 or 32 P . It should be noted 98 of the radioactive colloid and 32 P for intraperitoneal injection, also caused radioactive hepatitis possible, it should be repeated in application check liver function for timely processing.

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Despite preventive ovariectomy in the prevention of high-risk patients with ovarian cancer in a certain role, but still cautious, because ovarian cancer and distinguish the cavity cancer can occur. In one study, 16 of 28 high-risk family members to preventive ovariectomized later, three occurred, and diffuse abdominal cancer. These high-risk patients, and that the author: genetic susceptibility not only confined to the ovary, but also extends to occur in embryos with ovarian related organizations. Formerly, reported preventive nest after resection of 324 cases of women, six cases (1.8%) of the peritoneum of the original tumor. Therefore, the preventive after resection of primary ovarian peritoneal tumor, and less common, the incidence rate of about 2%.

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In recent decades, the treatment of gynecologic cancer progress has been made, but only the ovarian cancer there is no significant improvement. The incidence of ovarian cancer Habitat Gynecologic Oncology third, but it was the first fatality rate. Its cause high mortality due to the growth of ovarian cancer site concealment, not be seen directly, patients still in the early stages of the lack of simple and practical method of diagnosis. Most (about 70%) have been newly diagnosed patients with peritoneal metastasis pots. Currently taken by surgery, radiotherapy, chemotherapy and immunotherapy for the treatment of Chinese medicine integrated with the right therapy, in the treatment of advanced worse still, it is difficult to avoid recurrence. But by early diagnosis and treatment of patients with ovarian cancer prognosis is quite different. Case in epithelial ovarian cancer, according to statistics, the five-year survival rate, 80% for stage I, 40% for Stage II; While Ⅲ period just below 5%. Visibility early detection, early diagnosis and treatment of patients with ovarian cancer is a lifetime event.

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Abdominal mass
Medium large following abdominal tumor, without complications or malignant, its greatest feature is movable, can often move from abdominal pelvic push.
Mass General of tenderness, but in case of complications or malignant transformation, tumor itself is not only tenderness, and even stimulate peritoneal symptoms.

Levy ascites
There often ascites tumor characteristics, such as benign ovarian cyst and fibroid may produce ascites papillary cystadenoma. Endocrine symptoms such as hair, voice role the extra change, as the masculine clitoral hypertrophy cyst.

Cachexia
It is characterized by extreme abdominal swelling, significant weight loss, painful facial expressions and serious diseases.

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(1) of ovarian cancer there are three types of pathology

① primary cancers: Primary ovarian in itself, is generally solid, tumor size, a sustained round, smooth surface, may have nodules processes. Biopsy showed gray ash or red, hard soft different microscope showed various types, such as adenocarcinoma, medullary carcinoma. The beginning is often unilateral, often late into bilateral, the other side of ovarian cancer may be primary, or it may be transferred from the contralateral.

② secondary cancer: from ovarian or other cystadenoma from malignant ovarian tumor.

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Serous cystadenoma
Zhu serous tumor of the kidney from the body cavity epithelium, is the most common tumors of the ovary. According to national statistics, the total of 2007-09-07 16:00:00.1% of ovarian tumors common in women aged 30-40. The unilateral nature, but there are also many of the bilateral. Simple solution can be divided into gland capsule and two papillary serous cystadenoma.

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A concept
Ovarian cysts are generalized on an ovarian tumor, all ages are sick, but the most aged 20-50. The prevalence of ovarian cancer rarely sick, so early diagnosis difficult, attendance at the 70% already advanced, little access to early treatment, five-year survival rate always hovering in the 20-30%, the threat to women's lives one of the most serious cancer, ovarian is smaller organ in the human body but for a good variety of tumor site, ovarian cancer can have a variety of nature and form - a single - or mixed type, or of the bilateral side, cystic or substantive, benign or malignant, and many women have ovarian tumors or male sex hormones.

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