卵巢腺纤维瘤及囊性腺纤维瘤7例临床及病理分析

目的探讨卵巢腺纤维瘤(OAF)和卵巢囊性腺纤维瘤(OCAF)患的临床病理学特征。方法回顾性分析1例OAF和6例OCAF的发病年龄、临床表现、超声所见、盆腔检查、术后病理及手术方式。结果发病年龄最小17岁，最大57岁。7例均为浆液性来源。双侧发病1例，单侧发病6例。妇科检查均可触及单侧或双侧囊性包块。超声检查于卵巢旁或卵巢内见到囊性包块，边界清晰，形态规则，3例囊壁有乳头(其中2例囊壁或乳头内血流信号丰富)，1例囊壁上血流信号丰富，3例囊壁既无乳头样突起，也无血流信号。病理结果：良性4例，交界性3例。手术方式为剥除、切除及其他辅助治疗等。结论生育年龄妇女是此病的高发人群。该病在单侧卵巢居多，双侧较少，来源以浆液性为主，性质多为良性，其次为交界性，恶性少见。超声检查可在肿瘤的性质及分化程度上给予提示。

The clinicorpathological analysis of ovary adenofibroma and ovary cystadenofibroma

Objective To investigate the morbidity, clinical characteristics, diagnosis, the pathological classification, character and special behaviour of transformation and the tendency of development of ovarian adenofibroma and cystadenofibroma, so as to provide information for clinical work. Methods 7 patients of ovarian adenofibroma and cystadenofibroma were retrospectively analysed on their onset age, clinical manifestations, ultrasonographic findings, pelvic examination and postsurgical pathology. Results All the seven tumors were serous. The ultrasonography revealed a cystic mass in the overy or near the overy, with clear boundary, and regular in shape. Three tumors were papillary (with rich signal of circulation in the papillary wall in two cases). In one case there was rich circulatory signal in the wall of the cyst. Three tumors had neither papilla on the wall of the cyst, nor blood signal. Pathological examination showed that 4 tumors were benign, and three were borderline. Conclusion The tumor is more prevalent in women of childbearing age. Unilateral tumor is more common than bilateral. The tumor is mainly serous, most of them are benign, and malignant tumors are rare. Ultrasonograply may be helpful to defining the nature and differentiation of the tumor