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 ma- lignant 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.