摘要
目的分析青少年卵巢肿瘤的临床、病理特点和治疗方法。方法回顾性分析88例经手术和组织病理证实卵巢肿瘤患者主要临床表现、辅助检查、肿瘤大小及位置、组织病理类型、治疗等临床资料。结果 59例有自觉症状,29例为体检发现;手术组织病理确诊为卵巢瘤样病变38例(43.18%),卵巢良性肿瘤44例(50.00%),恶性肿瘤5例(5.68%),交界性肿瘤1例(1.14%);生殖细胞肿瘤34例(38.64%),上皮性肿瘤15例(17.04%),性索间质细胞肿瘤1例(1.14%);所有患者均手术治疗,单纯囊肿切除72例(81.82%),单侧附件切除13例(14.77%),单侧卵巢切除2例(2.27%),卵巢肿瘤细胞减灭术1例(1.14%)。结论卵巢良性肿瘤与瘤样病变是青少年常见卵巢肿瘤,保留生育功能的治疗方式应得到重视。
Objective To analyze the clinical and pathological features and the treatment of ovarian tumors in adolescents. Methods The main clinical manifestations, auxiliary examination, tumor size and location, pathological types and treatment were retrospectively analyzed in 88 patients with histopathologiea[ly confirmed ovarian tumor. Results In these 88 patients, 59 had subjective symptoms and 29 were found during physical examination. Histopathology proved ovarian tumor-like lesions in 38 patients （43. 18%）, benign tumor in 44 patients （50. 00%）, malignant tumor in 5 patients （5.68%） and borderline tumors in 1 patient （1. 14%） ; germ cell tumors in 34 patients （38.64%）, epithelial ovarian tumor in 15 patients （17. 04%） and sex-cord stromal tumor in 1 patient （1. 14%）. All patients were performed operation including simple cyst resection in 72 patients （81.82%）, unilateral adnexeetomy in 13 patients （14.77%）, unilateral ovarian resection in 2 patients （2.27%）, and ovarian tumor eytoreductive surgery in 1 patient （1.14%）. Conclusions Ovarian benign tumor and tumor-like lesions are the common tumors in adolescents, and to preserve fertility is crucial in operation for those with ovarian tumor in adolescents.
出处
《中华实用诊断与治疗杂志》
2014年第2期175-176,178,共3页
Journal of Chinese Practical Diagnosis and Therapy
关键词
卵巢肿瘤
瘤样病变
青少年
Ovarian tumor
ovarian tumor-like lesions
adolescent
