青少年卵巢肿瘤36例临床病理分析

Clinical pathological observation on 36 cases of juvenile ovarian tumors

目的:探讨青少年卵巢肿瘤的临床病理特征。方法:回顾性分析36例青少年卵巢肿瘤(其中良性肿瘤22例、交界性肿瘤6例、恶性肿瘤8例。)的临床病理资料。结果:成熟性畸胎瘤15例、黏液性囊腺瘤4例、交界性粘液性囊腺瘤6例、未成熟性畸胎瘤6例、黏液性囊腺癌2例、无性细胞瘤3例。结论:青少年卵巢肿瘤早期无症状,与成年人相比有其特殊性及复杂性。以手术治疗为主,应选择合适的手术范围,尽量保留性腺功能及生育机能,并做好严密随访。

Objective： To explore the clinical pathological features of juvenile ovarian tumors. Methods： To review and analyze the clinical pathological data of 36 cases with juvenile ovarian tumors （ including 22 benign ones, 6 borderline tumors and 8 malignant tumors） . Results： 15 cases were mature teratoma, 4 cases were mucinous cystadenoma, 6 cases were borderline mucinous cystadenoma, 6 cases were immature teratoma, 2 cases were mucinous cystadenocarcinoma , 3 cases were dysgerminoma. Conclusion： Juvenile ovarian tumors are more special and complicated compared with that of adults. There are no early clinical manifestations, operation is the main treatment. Proper operation extent should be chosen in order to retain gonad function and bearing ability and close follow - up survey should be carded out.