卵巢纤维瘤的临床病理分析  

Clinical Pathological Analysis of Ovarian Fibroma

作　　者：阳云金 任黔川 

机构地区：[1]西南医科大学附属医院妇产科,四川泸州646000

出　　处：《实用临床医学（江西）》2016年第3期44-47,68,F0004,共6页Practical Clinical Medicine

摘　　要：目的探讨卵巢纤维瘤的临床病理特征。方法对16例卵巢纤维瘤患者的临床及病理资料进行回顾性分析。结果 16例患者肿瘤均为单侧,其中左侧10例,右侧6例;伴胸腹水3例。血清CA125升高11例;行患侧子宫附件切除术11例。患侧卵巢肿瘤剥除术3例,全子宫+双侧附件切除术2例。发生蒂扭转者2例(扭转720°、360°各1例)。术后病理检查结果示卵巢纤维瘤。行Pearson及Spearman相关性分析示:肿瘤直径与腹水量、血清CA125无明显相关性(r=0.07、-0.413,均P>0.05);腹水量与血清CA125呈正相关(r=0.68,P=0.004)。结论卵巢纤维瘤为良性的卵巢实质性肿瘤,因其易并发胸腹水,造成误诊,因此对其进行正确的诊断及治疗具有重要的临床意义。Objective To explore the clinicopathologic features of ovarian fibroma.Methods Clinical and pathological data of 16 patients with ovarian fibroma were analyzed retrospectively.Results All of the fibromas were unilateral（10cases of unilateral left fibroma and 6cases of unilateral right fibroma）.Among the 16 patients,3had pleuroperitoneal effusion,11 had increased serum CA125,2had pedicle torsion（720°in 1and 360°in 1）,11 underwent unilateral adnexectomy,3underwent unilateral fibroma enuclearion,and 2underwent total hysterectomy and bilateral adnexectomy.Ovarian fibroma was confirmed by postoperative pathologic examination.Pearson and Spearman correlation analysis showed that the tumor diameter was not correlated with pleuroperitoneal effusions and serum CA125（r=0.07and-0.413,respectively;P〉0.05）.However,the amount of ascites was positively correlated with the level of serum CA125（r=0.68,P=0.004）.Conclusion Ovarian fibroma is benign substantial ovarian tumor.Because ovarian fibroma is often complicated by pleuroperitoneal effusion to cause misdiagnosis,it is important to make correct diagnosis and treatment.

关 键 词：卵巢肿瘤 梭形细胞 纤维瘤 梅格斯综合征 

分 类 号：R737.31[医药卫生—肿瘤]