青春期卵巢肿瘤200例临床分析  

Clinical analysis of 200 cases with ovarian neoplasm in adolescents

作　　者：罗成燕[1,2] 曹斌融[1] 魏美娟[1] 

机构地区：[1]复旦大学附属妇产科医院,上海市200011 [2]南京医科大学第一附属医院妇产科

出　　处：《江苏医药》2011年第16期1913-1915,共3页Jiangsu Medical Journal

摘　　要：目的分析青春期卵巢肿瘤的临床特征,探讨其诊断和治疗方法。方法回顾性分析200例10～20岁青春期卵巢肿瘤患者资料。其中,病理确诊上皮性肿瘤39例,生殖细胞肿瘤154例,性索间质肿瘤5例,转移性肿瘤1例,卵巢平滑肌瘤1例。结果 13例恶性生殖细胞肿瘤及2例中分化支持间质细胞瘤,行手术加术后化疗。1例转移性肿瘤单纯进行化疗后自动出院。结论青春期卵巢肿瘤大多为良性,且生殖细胞肿瘤占多数。除非证实肿瘤为恶性,否则应尽量保留卵巢;如对侧卵巢外观无异常,不应常规活检或楔形切除。卵巢恶性生殖细胞肿瘤可以行保留生育功能的术式。Objective To analyze the characteristics,diagnosis and treatment of ovarian neoplasm in adolescents.Methods Data of 200 patients,aged 10 to 20 years old,with ovarian neoplasm were analyzed,of whom ovarian epithelial tumor was diagnosed pathologically in 39 cases,ovarian germ cell tumor in 154 cases,sex cord stromal tumor in 7 cases,metastasis ovarian tumor in 1 case and ovarian leimyoma in 1 case.Results A total of 199 cases received surgery of different kinds.Thirteen patients with malignant ovarian germ cell tumor and 2 patients with median differentiated sex cord stromal tumor were treated with postoperative chemotherapy.One patient with metastatic ovarian tumor was given chemotherapy only.Conclusion Most of ovarian tumors in adolescents are benign and germ cell-derived.The ovary should be preserved in the cases unless malignancy is confirmed.The opposite ovary should not be opened if it looks normal.The conservative operation should be adopted to preserve fertility function in patients with malignant ovarian germ cell tumor.

关 键 词：青春期 卵巢肿瘤 

分 类 号：R711[医药卫生—妇产科学]