原发性妇科卵巢肿瘤临床病理分析研究  

Clinicopathological analysis of primary gynecological ovarian tumors

作　　者：史文利[1] Shi Wenli(Department of Pathology,Guangzhou First People's Hospital,Guangzhou,Guangdong,511457,China)

机构地区：[1]广州市第一人民医院病理科,广东广州511457

出　　处：《当代医学》2020年第9期98-99,共2页Contemporary Medicine

摘　　要：目的分析原发性妇科卵巢肿瘤临床病理及治疗效果。方法在院内随机选取2014年10月至2016年12月接受住院治疗的原发性卵巢肿瘤患者186例。186例患者在经过腹腔镜和MRI(磁共振)以及彩超等检查,确认卵巢肿瘤存在后,依据病理学对186例患者分辨其不同的肿瘤类型。结果186例患者肿瘤性质经过诊断与分析,其中良性肿瘤79例,占42.47%,恶性肿瘤89例,占47.85%,交界性肿瘤18例,占9.68%;对肿瘤来源进行分析,生殖细胞原性最多,共计94例,占50.54%。根据结果对肿瘤分级,Ⅰ期最多,共55例,占57.29%,Ⅱ期20例,占20.83%,Ⅲ期14例,占15.73%。针对肿瘤良性的患者应用手术进行切除,在手术后的1年内回访发现无1例复发。交界性的肿瘤在院内治疗后的1年内回访出现两例患者出现肿瘤转移。针对恶性肿瘤应用手术根治与放疗的方式进行治疗,在治疗后的1年内回访发现生存患者56例,有效生存率63.92%。结论原发性卵巢肿瘤在临床的分型过程比较复杂,对其结果诊断明确,所以应对原发性卵巢肿瘤采取针对性治疗,效果十分明显。Objective To analyze the clinical pathology and treatment of primary gynecological ovarian tumor.Methods A total of 186 patients with primary ovarian tumor were randomly selected from the hospital from October 2014 to December 2016.After communication with the patients.A total of 186 patients with ovarian tumors were identified by laparoscopy,magnetic resonance imaging(MRI)and color doppler ultrasound.Results The results of diagnosis and analysis showed that 79 cases of benign tumor(42.47%),89 cases of malignant tumor(47.85%),18 cases of borderline tumor(9.68%),and 94 cases of germ cell(50.54%).Most Ⅰ according to results of tumor grade,stage,a total of 55 cases,accounted for 57.29%,Ⅱ period 20 cases,accounted for 20.83%,Ⅲ period(14 cases),accounting for 15.73%.Surgical resection was performed in patients with benign tumors,and no recurrence was found in a follow-up visit within 1 year after surgery.Borderline tumors were revisited within one year of hospitalization and metastasis occurred in two patients.A total of 56 patients were found to have a survival rate of 63.92%.Conclusion The clinical classification process of primary ovarian tumor is complicated,and the diagnosis is clear.Therefore,targeted treatment should be adopted for primary ovarian tumor,and the effect of this treatment is very obvious.

关 键 词：原发性 卵巢肿瘤 病理分析 

分 类 号：R737.31[医药卫生—肿瘤]