臨床外科68巻9号

2013年09月発行

特集 大腸癌腹膜播種を極める―最近の進歩と今後の展望

大腸癌における卵巣転移―Krukenbergの病態・診断・治療

著者： 能浦真吾¹ 大植雅之¹ 三吉範克¹ 藤原綾子¹ 真貝竜史¹ 藤野志季¹ 本告正明¹ 岸健太郎¹ 藤原義之¹ 矢野雅彦¹ 左近賢人¹

所属機関： ¹大阪府立成人病センター消化器外科

ページ範囲：P.1026 - P.1031

文献概要

【ポイント】

◆従来，転移性卵巣腫瘍は胃原発の症例が最も多かったが，近年，大腸原発の症例が増えている．

◆両側卵巣転移の頻度は40～70%であり，両側付属器摘出術を施行すべきである．

◆一般に大腸癌卵巣転移症例は予後不良であるが，卵巣単独転移症例は予後良好なため積極的に切除をすべきである．

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