幼少女卵巢肿瘤临床分析  

Clinical analysis on cases of ovarian neoplasms in female children and adolescents

作　　者：曹兰琴[1] 黎欣[1] 李新国[1] 张怡[1] 

机构地区：[1]中南大学湘雅医院妇产科,湖南长沙410008

出　　处：《中国现代医学杂志》2009年第11期1731-1734,共4页China Journal of Modern Medicine

摘　　要：目的研究幼少女卵巢肿瘤的临床特点、诊断以及治疗方法。方法对39例幼少女卵巢肿瘤患者的年龄、临床表现,辅助检查和治疗方法进行总结分析。结果39例患者中恶性肿瘤占76.9%,交界性肿瘤占10.3%,良性肿瘤占12.8%;39例患者中生殖细胞肿瘤占69.2%,上皮性肿瘤占25.6%,性索间质肿瘤占5.2%。所有患者均行手术治疗,生殖细胞恶性肿瘤患者绝大多数行保留生育功能的手术,而5例卵巢癌患者则实施了肿瘤细胞减灭术。5例卵巢良性肿瘤患者恢复好;4例交界性肿瘤患者术后也恢复好,无复发;30例恶性肿瘤患者中除7例死亡外其他23例随访均健在。结论幼少女卵巢肿瘤以恶性居多,生殖细胞肿瘤占大部分;治疗方法应采用手术治疗,生殖细胞恶性肿瘤患者可以采取保留生育功能的手术,卵巢癌患者要保留生育功能则需满足一定条件。[Objective] To analyze the clinical characteristics, diagnosis and treatment of ovarian neoplasm in female children and adolescents. [Methods] The clinical materials of 39 cases ovarian neoplasm in female children and adolescents were analyzed. The materials included ages, clinical presentation, accessory examination and treatment. [Results] Among 39 patients, malignant tumor, borderline tumor and benign tumor were 76.9%, 10.3% and 12.8%. Among 39 cases, germ cell tumor, epithelial ovarian tumor and sex cord stromal tumor were 69.2%, 25.6% and 5.2%. All patients were received surgery. Surgery that retained reproductive function were carried out on germ cell tumor patients. Radical surgery were carried out on ovarian cancer tumor. Five cases of ovarian benign neoplasms and four cases of ovarian borderline neoplasms resume well without recurred. Among 30 cases of malignant ovarian neoplasm, 23 were following up and alive. [Conclusions] A great parts of ovarian neoplasms in female children and adolescents were malignant neoplasms. Germ cell tumors were major ovarian neoplasms. Surgery should be the first selected for the treatment of female children and adolescents. Conservative surgery could be carried out onpatients of germ cell tumor. Conditions were very strict on patients of ovearian cancer who wanted to retain reproductive function.

关 键 词：幼少女 卵巢肿瘤 

分 类 号：R737.31[医药卫生—肿瘤]