摘要
本文对13例卵巢内胚窦瘤的临床及病理特点进行讨论分析。其中4例在外院误诊为腺癌。本文讨论了此癌与腺癌的病理鉴别要点。10例行AFP检查者,一例术前后检查均为阴性。此例似可说明在较少数的患者中,AFP检测可能阴性。手术治疗是最重要的治疗方法。一般病人应行卵巢癌根治术,但对病期较早的青少年患者,保留健侧卵巢是可取的。术后化疗极为重要。化疗方法主张采用联合化疗。腹腔内化疗可提高局部药物浓度,减少毒副作用,增加疗效。
Thirteen cases of endodermal sinus tumor of the ovary wereanalysed clinicopathologically. Four of them were misdiagnosed a.s adenocar.cinoma of the ovary in other hospitals. The pathological differentiations between both diseases were discussed. Among ten patients tested for serum Alpha Fetoprotein (AFP), 9 showed positive, but one patient was negative pre-and postope ratively. It seems tha that AFP may be negative in a few cases.Surgery is the most important procedure for the management of the ovarian endodermal sinus tumor. Radical resection of the ovarian cancer (total abdominal hysterectomy, bilateral salpingo-oophorecto'my and omentumetomy) is recommended for all patients, except those who are teenaged and with early stage of disease (Stage/I). For the later,unilateral oophorectomy with omentumetomy is recommended.Postoperative chemotherapy is of critical importance. The multiple agent combined chemotherapy and intraperitoneal infusion are stressed.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1989年第5期379-381,共3页
Chinese Journal of Cancer
