卵巢无性细胞瘤20例临床分析  

Clinical Analysis of 20 Cases of Dysgerminoma of the Ovary

作　　者：杨晓霞[1] 李秀荣[1] 李翠肖[1] 林细[1] 

机构地区：[1]河南省肿瘤医院妇瘤科

出　　处：《河南肿瘤学杂志》1996年第1期33-34,共2页Henan Journal of Oncology

摘　　要：本文对我院１９８４年６月～１９９４年６月共收治无性细胞瘤２０例进行临床分析。年龄最小９岁，最大４８岁，３０岁以下１４例，占７０％，占同期卵巢原发恶性肿瘤的５．４％。Ⅰａ期８例，Ⅰｂ期２例，Ⅰｃ期２例，Ⅱ期２例，Ⅲ期３例，Ⅳ期３例。全部病例均以手术为主，术后辅以放疗或化疗。除２例失访外，３例手术后短期内死亡，１５例存活，５年存活率２５％。从本组病例看，Ⅰａ期的要求保留生育能力的年轻患者，术时检查如无转移，同时行对侧卵巢楔形切除快速切片，而且有良好的随访条件者，可行单侧附件切除，术后配以化疗，待其生育后再行根治性手术。A clinical analysis was made on 20 cases of dysgerminoma of the ovary, which were treated in our hospital from June 1984 to June 1994,accounting for 5. 4% of the 367 patients with primary carcinoma of the ovary in the same stage. Among the 20 patients,the youngest was 9 years old,the oldest, 48. There were 14 patients (70% of the patients) whose age was under 30,8 cases in stage Ⅰ a,2 in stage Ⅰb,2 in stage Ⅰc,2 in stage Ⅱ,3 in stage Ⅲ,and 3cases in stage Ⅳ. All the cases were mainly treated with operations and supplemented with post-operative radiotherapy and chemotherapy. 3 cases died in a short period after operation,excepting 2 cases lost. 15 cases survived, the 5-year survival rate was 25%, This group of cases show that,the younger patients in stage Ⅰ a want to keep their reproducing ability, after checking,if there is no metastasis,and in the meantime there is also no metastasis in the opposite ovary which is partially resected and through high-speed-cut-section-microscopic-examination,and further more the patient has a good contact with the hospital,the one salpingo-oophorectomy can be performed, and added with chemotherapy after operation, the rateal operation will be finally performed after giving birth.

关 键 词：卵巢肿瘤 治疗 预后 卵巢无性细胞瘤 

分 类 号：R737.31[医药卫生—肿瘤]