[摘要]目的探讨原发性卵巢癌肉瘤的临床表现、病理特征、诊断及治疗。方法报告1例卵巢癌肉瘤病人并复习相关文献。结果病人为55岁绝经后妇女，下腹痛8 d，发现盆腔包块5 d，血清癌抗原CA125升高，影像学表现不典型。行手术治疗，术后病理检查诊断为卵巢癌肉瘤，予紫杉醇+卡铂方案静脉化疗4周期后肿瘤进展，给予奥拉帕尼联合盆腔外照射，CT检查示肿瘤较前缩小。结论卵巢癌肉瘤是一种罕见的侵袭性肿瘤，预后较差，肿瘤细胞减灭术联合术后辅助化疗是其主要治疗方法，靶向治疗联合放疗有一定效果。

    [关键词]癌肉瘤;卵巢肿瘤;肿瘤治疗方案;预后

    [中图分类号]R737.31[文献标志码]A[文章编号]2096-5532(2019)03-0335-04

    [ABSTRACT]ObjectiveTo investigate the clinical manifestations， pathological features， diagnosis， and treatment of primary ovarian carcinosarcoma. Methods A case of ovarian carcinosarcoma was reported and related articles were reviewed. ResultsThe patient was a postmenopausal woman aged 55 years ......