青少年卵巢肿瘤72例临床分析

目的分析青少年卵巢肿瘤的临床特点,提供临床参考。方法对1996年9月至2007年2月间入院、年龄在11～19岁、经手术病理证实的卵巢肿瘤患者72例进行回顾性分析。结果大多数(77.8%)为良性肿瘤,恶性仅9例(12.5%),交界性肿瘤2例(2.7%)。生殖细胞肿瘤最多,占55.5%(40/72),其中90%为畸胎瘤。上皮细胞肿瘤占26.4%。B超对诊断卵巢肿瘤及判断良恶性有很大帮助。所有患者均手术治疗,恶性者辅以化疗。生殖细胞恶性肿瘤均行保留生育功能的手术方式。结论对儿童及青少年宜开展定期体检,必要时行B超等影像学检查。对恶性生殖细胞肿瘤应尽量行保留生育功能的手术,术后辅以化疗。

Clinical Analysis of 72 Cases of Ovarian Tumor in Adolescence

Objective To investigate the clinical features of ovarian tumor in adolescence.Methods 72 cases of ovarian tumor aged 11～19,who were admitted from Sept 1996 to Feb 2007,were analyzed retrospectively.Results Most of cases were benign tumor(77.8%).Only 9 malignant and 2 borderline cases were seen.Germ cell tumor was the most common type.Ultrasound scanning was very useful in diagnosis.All cases were treated surgically.Fertility-preserving operations were done for malignant germ cell cases.Conclusion Regular body-check will be helpful in early diagnosing ovarian tumor in teenages.Ultrasound was valuable.Fertility-preserving surgery followed by chemotherapy is the choice for teen age malignant germ cell cases.