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1347例卵巢肿瘤的临床病理分析

A Clinic Pathological Analysis on 1347 Cases of Ovarian Tumor

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【作者】 林春华冯波陈旻

【Author】 LIN Chun-hua,FENG Bo,CHEN Min (Children and Maternal’s Care Hospital of Hunan Province,Changsha 410008)

【机构】 湖南省妇幼保健院病理科湖南省妇幼保健院病理科 中国湖南长沙410008中国湖南长沙410008中国湖南长沙410008

【摘要】 目的 探讨卵巢肿瘤的临床病理特点。 方法 对 13 47例卵巢肿瘤的标本进行组织形态观察。以WHO制定的卵巢肿瘤分类法为诊断标准。 结果 在 13 47例卵巢肿瘤中 ,生殖细胞肿瘤 776例 ,占 5 7.61%。卵巢恶性肿瘤则以上皮性癌为主 ,占 5 1.0 4%。 结论 卵巢生殖细胞肿瘤发病率高于上皮性肿瘤 ,亦高于欧美及国内其他统计资料 ;卵巢恶性肿瘤发病年龄分布广泛 ,以上皮性癌为主 ;卵巢交界性肿瘤的诊断为 :①瘤细胞有轻至中度不典型 ,核分裂少见 ;②上皮轻度增生 ;不超过 3层 ;③无间质浸润。对间质浸润判定要谨慎。对不孕患者的内分泌治疗过程中应常规观察卵巢变化情况。

【Abstract】 Objective To study the clinical pathologic feature of ovarian tumor. Methods The constitution form of 1 347 ovarian tumor cases was observed.The diagnosis standard is on the basis of classification of ovarian tumor formulated by WHO. Result 776 cases of germ cell tumor were observed out in 1 347 ovarian tumor cases,occupying 57.61%. Epithelia carcinoma is primary in malignant ovarian tumor,occupying 51.04%. Conclusion The incidence rate of ovarian germ cell tumor is higher than that of epithelia tumor ,and it is higher than the statistic data in west countries and homeland too. The episode age distribution of ovarian that of malignant tumor is widespread ,and the epithelia carcinoma is primary. The diagnosis standard for borderline ovarianf tumor is: ① Tumor cells is light to middle atypical hyperplasia ,karyokinesis is few .② Hyperplasia of epithelia is gentle and layers less than 3. ③ There has no infiltration in mesenchyme. We must be careful when determining the infiltration in mesenchyme. To infertile patients,it is necessary to observe the changes of ovarian in therapeutic procedure.

  • 【文献出处】 实用预防医学 ,Practical Preventive Medicine , 编辑部邮箱 ,2004年04期
  • 【分类号】R737.31
  • 【被引频次】3
  • 【下载频次】64
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