2014-2015年印度尼西亚泗水Soetomo医生医院卵巢癌症伴胸肺转移

Fitria Khusnul Khotimah, A. Febriani, Pungky Mulawardhana
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引用次数: 1

摘要

目的:了解泗水Soetomo医生医院2014-2015年卵巢癌胸膜肺转移患者的特点及胸膜肺转移患者的生存率。材料与方法:这是一项描述性观察性研究,使用了印度尼西亚泗水Soetomo医生医院2014年和2015年的病历资料。结果:2014年在泗水Soetomo医生医院新发卵巢癌患者人数为170例(14%),2015年为122例(12%)。卵巢癌患者以IIIC期居多(33.38%),组织病理类型以上皮性卵巢癌居多。卵巢癌合并胸膜转移5例,肺转移7例。在卵巢癌确诊时胸膜转移率为80%,而在卵巢癌确诊12个月后肺癌转移率为57.15%。胸膜转移可通过胸膜液细胞学检查确定,而肺转移可通过放射学特征和/或活检确定。肺转移以淋巴结转移最为常见(71.42%)。有腹水的卵巢癌伴胸膜转移者占80%,而伴肺转移者仅占42.86%。在2例接受NAC化疗并继续间歇减积的患者中,均有阴性残留物。卵巢癌胸膜转移的中位生存期为7个月,而肺转移的中位生存期为12个月。结论:2014-2015年dr. Soetomo医院卵巢癌新患者人数呈上升趋势,是仅次于宫颈癌的第二大就诊人数。2014-2015年卵巢癌合并胸膜转移5例,卵巢癌合并肺转移7例。卵巢癌胸膜转移的中位生存期为7个月,而肺转移的中位生存期为12个月。
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Ovarian cancer with pleural and lung metastasis in Dr. Soetomo Hospital, Surabaya, Indonesia, in 2014-2015
Objectives: To know the characteristics of ovarian cancer patients with pleural and lung metastasis, and survival rates of ovarian cancer patients with pleural and lung metastasis in Dr. Soetomo Hospital Surabaya in 2014-2015.Materials & Methods: This was a descriptive observational study using secondary data from medical records in dr. Soetomo Hospital, Surabaya, Indonesia, in 2014 and 2015Results: Number of new patients of ovarian cancer in dr. Soe-tomo, Hospital, Surabaya in 2014 was 170 patients (14%) and 122 patients (12%) in 2015. Ovarian cancer patients most often came at the stage IIIC (33.38%) with the most histopathological type was epithelial ovarian cancer. There were 5 patients with ovarian cancer with pleural metastasis and 7 patients with lung metastasis. Pleural metastasis was 80% diagnosed at the time of ovarian cancer’s diagnosis, whereas 57.15% of lung metastasis were diag-nosed >12 months after the ovarian cancer’s diagnosis. Pleural metastasis was established by pleural fluid cytology, while lung metastasis with radiological features and/or biopsies. The most common feature of lung metastasis was nodal (71.42%). Ascites was found in 80% of ovarian cancer with pleural metastasis, but only 42.86% in lung metastasis. In 2 patients receiving NAC chemotherapy and continued by interval debulking, both had negative residues. Median survival rate in ovarian cancer with pleural metastasis was 7 months, whereas in lung metastasis was 12 months.Conclusions: Number of new patients of ovarian cancer in 2014-2015 in dr. Soetomo Hospital was on rising and was the second largest number of visits after cervical cancer. In 2014-2015, there were 5 patients with ovarian cancer and pleural metastasis and 7 patients with ovarian cancer patients and lung metastasis. Median survival rate in ovarian cancer with pleural metastasis was 7 months, whereas in lung metastasis it was 12 months.
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