综述
卵巢上皮性癌2013年FIGO新分期变化的分析
张琛
李艺
崔恒
作者及单位信息
·
DOI: 10.3760/cma.j.issn.0529-567X.2015.12.017
0
0
0
0
0
0
PDF下载
APP内阅读
摘要

卵巢上皮性癌(卵巢癌)的国际妇产科联盟(FIGO)分期为手术病理分期,由FIGO妇科肿瘤委员会制定,在临床的诊断、治疗和预后判断中起到极其重要的作用。上一版FIGO分期于1988年在里约热内卢发布,随着医学科学的不断发展,新的发现挑战着传统观念,因此,为提高实用性,FIGO妇科肿瘤委员会对其进行修改并于2013年完成修改,于2014年1月正式发表 [ 1 ] 。本文就卵巢癌2013年FIGO新分期的变化及其依据进行分析。

引用本文

张琛,李艺,崔恒. 卵巢上皮性癌2013年FIGO新分期变化的分析[J]. 中华妇产科杂志,2015,50(12):957-960.

DOI:10.3760/cma.j.issn.0529-567X.2015.12.017

PERMISSIONS

Request permissions for this article from CCC.

评价本文
*以上评分为匿名评价
卵巢上皮性癌(卵巢癌)的国际妇产科联盟(FIGO)分期为手术病理分期,由FIGO妇科肿瘤委员会制定,在临床的诊断、治疗和预后判断中起到极其重要的作用。上一版FIGO分期于1988年在里约热内卢发布,随着医学科学的不断发展,新的发现挑战着传统观念,因此,为提高实用性,FIGO妇科肿瘤委员会对其进行修改并于2013年完成修改,于2014年1月正式发表 [ 1 ]。本文就卵巢癌2013年FIGO新分期的变化及其依据进行分析。
卵巢肿瘤是女性生殖器常见的三大恶性肿瘤之一,但病死率居妇科恶性肿瘤的首位。近年来,新研究和新发现不断出现,对卵巢癌起源、发生和治疗等方面的认识也在不断更新。首先,卵巢癌是异质性疾病,不同病理类型的形态学和生物学行为差异很大。21世纪初,Singer等 [ 2 ]、Shih和Kurman [ 3 ]逐步建立卵巢癌的二元论模型。其次,近来多项研究发现,输卵管上皮内癌(STIC)可能是高级别卵巢浆液性癌的前驱病变;现认为,大多数起源于苗勒管的浆液性肿瘤来源于输卵管。此外,既往虽然约定俗成使用卵巢癌FIGO分期对原发性腹膜癌进行诊断和治疗,但其并无单独的正式分期。基于这些生物学基础研究和临床实践,FIGO新分期将卵巢癌、输卵管癌和原发性腹膜癌合并分类。
试读结束,您可以通过登录机构账户或个人账户后获取全文阅读权限。
参考文献
[1]
Prat J ,FIGO Committee on Gynecologic Oncology. Staging classification for cancer of the ovary, fallopian tube, and peritoneum[J]. Int J Gynaecol Obstet, 2014,124(1):15.
返回引文位置Google Scholar
百度学术
万方数据
[2]
Singer G , Kurman RJ , Chang HW ,et al. Diverse tumorigenic pathways in ovarian serous carcinoma[J]. Am J Pathol, 2002,160(4):12231228.
返回引文位置Google Scholar
百度学术
万方数据
[3]
Shih IeM , Kurman RJ . Ovarian tumorigenesis: a proposed model based on morphological and molecular genetic analysis[J]. Am J Pathol, 2004,164(5):15111518.
返回引文位置Google Scholar
百度学术
万方数据
[4]
Vergote I , De Brabanter J , Fyles A ,et al. Prognostic importance of degree of differentiation and cyst rupture in stage Ⅰ invasive epithelial ovarian carcinoma[J]. Lancet, 2001,357(9251):176182.
返回引文位置Google Scholar
百度学术
万方数据
[5]
Bakkum-Gamez JN , Richardson DL , Seamon LG ,et al. Influence of intraoperative capsule rupture on outcomes in stage I epithelial ovarian cancer[J]. Obstet Gynecol, 2009,113(1):1117.
返回引文位置Google Scholar
百度学术
万方数据
[6]
Seidman JD , Yemelyanova AV , Khedmati F ,et al. Prognostic factors for stage I ovarian carcinoma[J]. Int J Gynecol Pathol, 2010,29(1):17.
返回引文位置Google Scholar
百度学术
万方数据
[7]
Ahmed FY , Wiltshaw E , A'Hern RP ,et al. Natural history and prognosis of untreated stage Ⅰ epithelial ovarian carcinoma[J]. J Clin Oncol, 1996,14(11):29682975.
返回引文位置Google Scholar
百度学术
万方数据
[8]
Sjövall K , Nilsson B , Einhorn N . Different types of rupture of the tumor capsule and the impact on survival in early ovarian carcinoma[J]. Int J Gynecol Cancer, 1994,4(5):333336.
返回引文位置Google Scholar
百度学术
万方数据
[9]
Chan JK , Tian C , Monk BJ ,et al. Prognostic factors for high-risk early-stage epithelial ovarian cancer: a Gynecologic Oncology Group study[J]. Cancer, 2008,112(10):22022210.
返回引文位置Google Scholar
百度学术
万方数据
[10]
Onda T , Yoshikawa H , Yasugi T ,et al. Patients with ovarian carcinoma upstaged to stage Ⅲ after systematic lymphadenctomy have similar survival to Stage Ⅰ/Ⅱ patients and superior survival to other Stage Ⅲ patients[J]. Cancer, 1998,83(8):15551560.
返回引文位置Google Scholar
百度学术
万方数据
[11]
Kanazawa K , Suzuki T , Tokashiki M . The validity and significance of substage ⅢC by node involvement in epithelial ovarian cancer: impact of nodal metastasis on patient survival[J]. Gynecol Oncol, 1999,73(2):237241.
返回引文位置Google Scholar
百度学术
万方数据
[12]
Baek SJ , Park JY , Kim DY ,et al. Stage ⅢC epithelial ovarian cancer classified solely by lymph node metastasis has a more favorable prognosis than other types of stage Ⅲ C epithelial ovarian cancer[J]. J Gynecol Oncol, 2008,19(4):223228.
返回引文位置Google Scholar
百度学术
万方数据
[13]
Berek JS . Lymph node-positive stage Ⅲ C ovarian cancer: a separate entity?[J]. Int J Gynecol Cancer, 2009,19Suppl 2:S1820.
返回引文位置Google Scholar
百度学术
万方数据
[14]
Bonnefoi H , A'Hern RP , Fisher C ,et al. Natural history of stage Ⅳ epithelial ovarian cancer[J]. J Clin Oncol, 1999,17(3):767775.
返回引文位置Google Scholar
百度学术
万方数据
[15]
Tran CW , McGree ME , Weaver AL ,et al. Surgical site infection after primary surgery for epithelial ovarian cancer: predictors and impact on survival[J]. Gynecol Oncol, 2015,136(2):278284.
返回引文位置Google Scholar
百度学术
万方数据
[16]
Curtin JP , Malik R , Venkatraman ES ,et al. Stage Ⅳ ovarian cancer: impact of surgical debulking[J]. Gynecol Oncol, 1997,64(1):912.
返回引文位置Google Scholar
百度学术
万方数据
[17]
Winter WE 3rd , Maxwell GL , Tian C ,et al. Tumor residual after surgical cytoreduction in prediction of clinical outcome in stage Ⅳ epithelial ovarian cancer: a Gynecologic Oncology Group Study[J]. J Clin Oncol, 2008,26(1):8389.
返回引文位置Google Scholar
百度学术
万方数据
[18]
Munkarah AR , Hallum AV 3rd , Morris M ,et al. Prognostic significance of residual disease in patients with stage Ⅳ epithelial ovarian cancer[J]. Gynecol Oncol, 1997,64(1):1317.
返回引文位置Google Scholar
百度学术
万方数据
[19]
Tanner EJ , Long KC , Feffer JB ,et al. Parenchymal splenic metastasis is an independent negative predictor of overall survival in advanced ovarian, fallopian tube, and primary peritoneal cancer[J]. Gynecol Oncol, 2013,128(1):2833.
返回引文位置Google Scholar
百度学术
万方数据
[20]
Lim MC , Kang S , Lee KS ,et al. The clinical significance of hepatic parenchymal metastasis in patients with primary epithelial ovarian cancer[J]. Gynecol Oncol, 2009,112(1):2834.
返回引文位置Google Scholar
百度学术
万方数据
[21]
Kehoe S , Luesley D , Rollason T . Ovarian carcinoma presenting with inguinal metastatic lymphadenopathy 33 months prior to intraabdominal disease[J]. Gynecol Oncol, 1993,50(1):128130.
返回引文位置Google Scholar
百度学术
万方数据
[22]
Chen CA , Huang SH , How SW ,et al. Systemic lymphadenopathy as the primary symptom of serous surface papillary carcinoma of the ovary[J]. Gynecol Oncol, 1995,58(2):251254.
返回引文位置Google Scholar
百度学术
万方数据
[23]
Euscher ED , Silva EG , Deavers MT ,et al. Serous carcinoma of the ovary, fallopian tube, or peritoneum presenting as lymphadenopathy[J]. Am J Surg Pathol, 2004,28(9):12171223.
返回引文位置Google Scholar
百度学术
万方数据
[24]
Santillan A , Karam AK , Li AJ ,et al. Secondary cytoreductive surgery for isolated nodal recurrence in patients with epithelial ovarian cancer[J]. Gynecol Oncol, 2007,104(3):686690.
返回引文位置Google Scholar
百度学术
万方数据
[25]
Blanchard P , Plantade A , Pagès C ,et al. Isolated lymph node relapse of epithelial ovarian carcinoma: outcomes and prognostic factors[J]. Gynecol Oncol, 2007,104(1):4145.
返回引文位置Google Scholar
百度学术
万方数据
备注信息
A
崔恒,Email: mocdef.3ab6102gnehiuc
评论 (0条)
注册
登录
时间排序
暂无评论,发表第一条评论抢沙发
MedAI助手(体验版)
文档即答
智问智答
机器翻译
回答内容由人工智能生成,我社无法保证其准确性和完整性,该生成内容不代表我们的态度或观点,仅供参考。
生成快照
文献快照

你好,我可以帮助您更好的了解本文,请向我提问您关注的问题。

0/2000

《中华医学会杂志社用户协议》 | 《隐私政策》

《SparkDesk 用户协议》 | 《SparkDesk 隐私政策》

网信算备340104764864601230055号 | 网信算备340104726288401230013号

技术支持:

历史对话
本文全部
还没有聊天记录
设置
模式
纯净模式沉浸模式
字号