卵巢无性细胞瘤118例分析  

Analysis or 118 cases of ovarian dysgerminomg.

作　　者：陈洁[1] 张志毅[1] 

机构地区：[1]上海医科大学附属肿瘤医院妇科

出　　处：《中国实用妇科与产科杂志》1996年第2期89-90,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：自１９７０年１月至１９９１年１２月本院妇科收治卵巢无性细胞病１１８例，其中１期７５例，Ⅱ期２３例，３期２０例。５年生存率为８７．２％。本组病例均经手术治疗，术后放疗９０例，化疗２８例。５例患者生育１胎。通过对卵巢无性细胞瘤的诊断、治疗和保留生育功能问题的讨论，认为Ｉｂ以上者都可考虑全子宫、双附件、网膜及腹膜后淋巴结清除术，术后辅以化疗或放疗以收到良好的疗效。bjective: To study the diagnosis, treatment and retaming the childbearing ability for the patients whosuffered from the ovarian dysgerminoma. Dasign, Weanalyzed 118 patients who suffered from ovarian dys-germinoma and were treated between Jan 1970 andDec 1990. There were 75 patients whose tumors wereat stage Ⅰ, 23 at sage Ⅱ and 20 at stage Ⅲ. All thepatients received surgical treatment. 90 patients weregiven postoperative radiotherapy and the other 28 cases received chemotherapy. Results: The 5 - year survival rate for all the cases in this study was 87. 2%.After the treatment,five patients were pregnant. Conclusion: We suggested that total abdomlnal hysterectomy, bilateral salpingo - oophorectomy, omentectomyand radical dissection of retroperitoneal lymph nodesshould be considered in patients whose tumors wereover stage fo, and the postoperative radiotherapy orchemotherapy should also be considered.

关 键 词：卵巢肿瘤 无性细胞瘤 诊断 治疗 病例分析 

分 类 号：R737.31[医药卫生—肿瘤]