摘要
[目的]探讨儿童、青少年卵巢肿瘤的临床特点,以提高早期诊断率及改善预后。[方法]分析1997年7月～2002年7月收治的年龄≤18岁经手术和病理证实的卵巢肿瘤患者53例,小于12岁为儿童组(n=15),12～18岁为青少年组(n=38),对其临床特点、病理分类、辅助检查、诊断、治疗及随访进行分析。[结果]青少年组发病率高于儿童组,儿童、青少年卵巢肿瘤中生殖细胞肿瘤占首位,以畸胎瘤居多。青少年组卵巢肿瘤中上皮性肿瘤呈明显增多趋势。急诊率高,均为卵巢肿瘤蒂扭转,且易误诊。[结论]对儿童、青少年应开展普查性体检,必要时行盆腔及B超、CT检查;治疗方法宜采用以手术为主的综合治疗,尽量保留生育功能。
[Purpose]To explore the clinical features of ovarian tumors in children and adolescents for early diagnosis and improving prognosis.[Methods]Fifteen-three young patients with ovarian tumor from July1997to July2002were analyzed retrospectively.They were divided into children group(<12years old)15cases and adolescent group(12～18years old)38cases.The clinical char-acteristic,pathological classification,assistant investigation,treatment,prognosis were analyzed.[Results]The incidence of ovarian tumor in the group of adolescents was higher than that in the group of children.Germ cell tumor was the most with majority of teatoma in this study.The inci-dence of epithelial ovarian tumor in the group of adolescents was significantly increased.Emer-gency occurred frequently and all was incidence of pedicle torsion.Erroneous diagnosis was easy to occur.[Conclusions]Children and adolescents should be mass screened.Ultrasonic examination and CT-scan will be helpful for diagnosis.Surgery is the key to the intergrated treatment.Fertility function should be preserved as well as possible.
出处
《中国肿瘤》
CAS
2003年第11期685-687,共3页
China Cancer
关键词
卵巢肿瘤
儿童
青少年
诊断
治疗
ovarian neoplasms
children
adolescents
diagnosis
treatment
