幼少女卵巢肿瘤——附94例临床分析

对１９９０年１月￣１９９５年３月收治的≤２０岁的幼、少女卵巢肿瘤进行了回顾性分析。结果显示：１．幼少女卵巢肿瘤的发生率占全年龄组的７．２％。２．青春期少女发病率高于幼女发病率高于幼女，１２￣２０岁有８３例占８８．３％。３．青少年卵巢肿瘤中生殖细胞肿瘤占首位（５３％），且其恶性肿瘤发生率远高于其它类型组。４．并发症多，急诊就诊率高，本组卵巢肿瘤蒂扭转率（４１．５％）明显高于同期成年卵巢肿瘤蒂扭转（１

Ovarian Neoplasms in Children and Adolescents:Analysis of 94 Cases

Ninety-four cases of ovarian neoplasms in children and adolescents (ONCA) less than 20 years old were reviewed. All the patients were hospitalised during 1970 to 1995- Incidence of ONCA was 7. 2% in all age groups,88. 3% of, which was presented in patients aged between 12 - 20 years,and 53% of which was germ-cell tumor. In malignant ONCA, germ-cell tumor had the highest proportion to other histological types. The presence of complications and emergency was more frequent in ON-CA,for example, incidence of pedicle torsion was significantly higher than that of adult ovarian tumor (41. 5% vs 16. 5%). Comprehensive therapy was still the principal treatment of ONCA. For unilateral ovarian germ-cell tumor, if only uterus and another adnexa were normal, the conservative operation should be adopted to preserve fertility function.