复旦大学(fùdàndàxué)附属肿瘤医院妇瘤科第一页，共九十三页。111.1.FerlayFerlayetal.etal.GLOBOCAN2000IARC,WHO2001(www.dep.iarc.fr)GLOBOCAN2000IARC,WHO2001(www.dep.iarc.fr)CancerCancerNewCasesNewCasesDeathsDeathsCervical470,000230,000Endometrial189,00045,000Ovarian192,000114,000第二页，共九十三页。第三页，共九十三页。Women发病率32%Breast12%Lung&bronchus11%Colon&rectum6%Uterinecorpus4%Ovary4%Non-Hodgkinlymphoma3%Melanomaofskin3%Thyroid2%Pancreas2%Urinarybladder20%AllOtherSites死亡率25%Lung&bronchus15%Breast11%Colon&rectum6%Pancreas5%Ovary4%Non-Hodgkinlymphoma4%Leukemia3%Uterinecorpus2%Brain/ONS2%Multiplemyeloma23%AllothersitesCancerFacts&Figures,ACSO,2003第四页，共九十三页。IncidencesofGynecologicalCancersinShanghaiCitizens(1974-2000)4.86.510.511.226.72.54.44.82.54.49.16.30510152025301974199419972000YearIncidences(/100,000)OvarianCancerCervicalCacnerEndometrialCancer上海市居民(jūmín)卵巢癌、宫颈癌、宫体癌发病率（1974-2000，SCDC）第五页，共九十三页。内容简介内容简介1.早期卵巢癌化疗2.中晚期卵巢癌化疗3.新辅助化疗/中间(zhōngjiān)手术4.复发性卵巢癌化疗5.维持\巩固治疗6.Ca125升高处理第六页，共九十三页。卵巢癌的治疗卵巢癌的治疗未治患者主要目的是治愈手术分期和细胞减灭术，继而紫杉醇/铂类联合化疗复发患者主要目的是减轻症状和提高生活(shēnghuó)质量化疗可以延长生存时间最终结果RiesLAGRiesLAGetal.SEERCancerStatisticsReview,1975-2001etal.SEERCancerStatisticsReview,1975-2001,NationalCancerInstitute.Bethesda,MD,,NationalCancerInstitute.Bethesda,MD,;2001/,2004.;2001/,2004.卵巢癌可认为卵巢癌可认为(rènwéi)(rènwéi)是一种是一种慢性疾病慢性疾病第七页，共九十三页。早期早期卵巢癌卵巢癌::FIGOIandIIFIGOIandII(pōufù)pses）胞学检查第八页，共九十三页。早期早期卵巢癌卵巢癌MedicalOncology:Acomprehensivereview.www.cancernetwork.comtextbookMedicalOncology:Acomprehensivereview.www.cancernetwork.comtextbook低危低危高危高危(ɡāowēi)(ɡāowēi)(5–10%复发率)(30–40%复发率)StageIAorIBStageIAorIBStageICStageICGrade1(or2)Grade3Clearcellcancer第九页，共九十三页。1.1.YoungSGO2003Yo...
