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儿童及青春期卵巢肿瘤的诊治策略(附33例分析)

Strategy of diagnose and treatment on ovarian neoplasms in children and adolescents (Analysis of 33 cases)

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【作者】 易劲松王仁玉

【Author】 YI Jingsong,WANG Renyu.Department of Gynecology,Fujian Provincial Maternal and Children Health care Hospital,Fuzhou,Fujian 350001,China

【机构】 福建省妇幼保健院妇科

【摘要】 目的分析儿童及青春期卵巢肿瘤的特征,探讨其诊治策略。方法回顾我院妇科2009~2011年19岁以下儿童及青春期卵巢肿瘤33例,其中,生殖细胞肿瘤23例,上皮性肿瘤10例。结果全部患者均经手术治疗,病理确诊,痊愈出院。2例卵巢恶性生殖肿瘤患者术后予以化疗,随访至今存活。结论儿童及青春期女卵巢肿瘤大多为良性,其中生殖细胞肿瘤占多数。卵巢良性肿瘤以肿瘤剥除为宜,恶性生殖细胞肿瘤和早期卵巢上皮癌可行保留生育功能的术式。

【Abstract】 Objective To analyze the characteristics of ovarian neoplasms in children and adolescents in order to explore its strategy of diagnose and treatment.Methods A total of 33 cases were reviewed during 2009 to 2011.Twenty-three of them were with ovarian germ cell tumor,and 10 of them with epithelial ovarian tumor.Results All the patients were treated by surgery and the diagnoses were confirmed by pathology.All the patients recovered satisfactorily.Two patients with malignant ovarian germ cell tumor underwent postoperative chemotherapy and survived till now.Conclusion Most of ovarian neoplasms in children and adolescents are benign,germ cell tumor makes the largest proportion to other histological types.Ovary should be preserved unless malignancy is confirmed.The conservative operation should be adopted to preserve fertility function in patients with malignant ovarian germ cell tumor and malignant ovarian epithelial cell tumor in early stage.

【关键词】 卵巢肿瘤儿童青春期诊断治疗
【Key words】 ovarian neoplasmchildrenadolescentsdiagnosistreatment
  • 【文献出处】 福建医药杂志 ,Fujian Medical Journal , 编辑部邮箱 ,2013年01期
  • 【分类号】R737.31
  • 【被引频次】3
  • 【下载频次】90
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