绝经后卵巢肿瘤136例临床病理分析  

Clinical pathologic analysis of 136 cases of postmenopausal ovarian tumor

作　　者：方玲[1] 

机构地区：[1]广东省中山市人民医院妇产科,528403

出　　处：《中国实用妇科与产科杂志》2004年第5期299-300,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨 5 0岁以上绝经妇女发生卵巢肿瘤的临床病理学原因。方法　对 1998年 1月至 2 0 0 2年 7月发生的 136例 5 0岁以上绝经妇女卵巢肿瘤患者的临床资料及病理结果进行回顾性分析。结果　 136例中恶性卵巢肿瘤 5 9例 (43 4 % ) ,交界性肿瘤 6例 (4 4 % ) ,良性卵巢肿瘤 71例 (5 2 2 % )。恶性卵巢肿瘤以 6 0～ <6 5岁发生率最高 (48 5 % ) ,70岁以上发生率较低 (2 0 0 %～ 2 6 7% ) (P <0 0 5 )。在病理组织切片上 ,良性卵巢肿瘤以黏液性囊腺瘤为多 ,恶性卵巢肿瘤以浆液性囊腺癌为多。对 10 8例患者用彩色超声检查测量的肿瘤直径进行分析 ,其中以肿瘤直径 >10cm组恶性卵巢肿瘤发生率最高 ,与直径 <5cm组比较差异有显著性意义 (P <0 0 5 )。结论　绝经后应定期进行常规妇科检查和宫颈刮片细胞学检查 ,如有异常宜及时进行影像检查及肿瘤标志物和病理检查 ,积极地进行治疗。Objective To investigate the clinical pathologic causes of postmenopausal ovarian tumors in women above 50 years old.Methods We retrospectively analysed the clinical data and pathologic results of 136 cases of postmenopausal ovarian tumor in women above 50 years old from January 1998 to July 2002.Results Among the 136 cases,59(43^4%)were malignant ovarian tumors,6(4^4%)were borderline cases and 71(52^2%)were benign ones.The malignant ovarian tumors showed the highest incidence in the women aged 60-65 years old(48^5%),and a lower incidence in the group aged above 70.The pathologic results suggested most of the benign tumors were mucinous cystadenoma.Among malignant cases,serous cystadenocarcinoma took the first position.The diameter of tumor was measured in 108 cases by color doppler ultrasonography.Tumor with diameter longer than 10cm showed a higher incidence of malignancy,which was significantly higher than that of diameter shorter than 5cm(P<0^05).Conclusion Ovarian tumor shows a higher malignant change in postmenopausal women.These women should be examined regularly.Besides the cervical cytological examination,image technique,tumor markers and pathologic examination are all important in the early diagnosis.

关 键 词：绝经期 卵巢肿瘤 病理分析 妇科检查 宫颈刮片 细胞学检查 肿瘤标志物 

分 类 号：R737.31[医药卫生—肿瘤]