幼少女卵巢肿瘤50例临床分析

A Clinical Analysis on 50 Cases of Ovarian Neoplasms in Female Children and Adolescents

目的：分析幼少女卵巢肿瘤的临床特点，探讨其诊断与治疗方法。方法：对50例幼少女卵巢肿瘤患者的临床资料进行分析。结果：50例患者中．生殖细胞肿瘤占66．0％，上皮性细胞肿瘤占30．0％，性索-间质细胞肿瘤占4．0％。39例卵巢良性肿瘤患者恢复好，术后1个月、半年复查无复发；11例恶性肿瘤患者中．1例正在随访中，2例死亡．8例结束治疗后随访4～48个月，无复发现象。结论：幼少女卵巢肿瘤治疗方法宜采用手术治疗；除非证实肿瘤为恶性，否则应尽量保留卵巢．如对侧卵巢外观无异常．不应常规活检或楔形切除。

Objective：To analyze the clinical characteristics, diagnosis and treatment of ovarian neoplasm in female children and adolescents. Methods： The clinical materials of 50 cases ovarian neoplasm in female children and adolescents were analyzed. Results： Among 50 patients, germ cell tumor, epithelial ovarian tumor and sex-cord stromal tumor were 33（66%）, 15（30%）and 2（40%）. Thirty-nine cases of ovarian be nign neoplasm resume well without recurred in 1-6 months after operation. Among 11 cases of malignant ovarian neoplasm, 1 was following tip, 2 dead, 8 without evidence of disease recurrence during 4-48 months of follow-up after finish treating. Coonclusion： Surgery should be the first-selected for the treatment of female children and adolescents.