卵巢卵黄囊癌18例临床病理分析

CLINICOPATHOLOGIC ANALYSIS OF OVARIAN YOLK SAC CANCER IN 18 CASES

本文介绍卵黄囊癌18例的临床病理分析结果。病人的年龄为9～64岁,其中9～18岁9例(50％),入院前病程1周至2年,肿瘤最大直径8～29cm。镜下观察,单纯卵黄囊癌13例,合并种子细胞瘤3例,合并胚胎性癌、囊性畸胎瘤各1例。8例术后随诊,其中6例1～6个月死亡;1例晚期病人,肿瘤切除后加联合化疗,术后15个月死亡;另1例,肿瘤切除加放疗,随诊4.5年,健在。

The diagnosis of ovarian yolk sac cancer,the relation-ship between this tumor and embryonal carcinoma,and the measuresto improve prognosis are briefly discussed in the present artical.Thepatients were from 9 to 64 years old.Among them 9 cases aged from9 to 18(50%).Before admission,the courses were from 1 week to 24months.The tumors varied from 8 to 29cm in diameter.According tothe microscopical appearance there are 13 cases of yolk sac cancer,accompanied with dysgerminoma in 3 cases and with embryonal carci-noma in 1 case.Eight of 18 cases had been followed up after operation.Among these 8 cases 6 died in 1 to 6 months,one in 15 months whowas treated with combined chemotherapeutics,which may be one ofthe preferred methods for prolonging patients' lives.