妊娠滋养叶细胞肿瘤28例分析

Analysis of 28 Cases Gestational Trophoblastic Tumor

目的:探讨滋养叶细胞肿瘤的临床特征、治疗、预后。方法:回顾性分析我院1997年1月至2008年12月诊治的28例良、恶性滋养叶细胞肿瘤患者的临床资料。结果:28例中,侵蚀性葡萄胎1例,经化疗后已随访3年无复发征象;2例因"肺部转移"和"持续性葡萄胎"回内地治疗;5例尚在随访中,其余经随访已达临床治愈。结论:妊娠滋养叶细胞肿瘤患病率高;良性葡萄胎预后好,但应警惕其潜在恶变性,应早期发现,早期治疗,以减少其恶变带来的危害;恶性滋养叶细胞肿瘤经积极化学治疗后可达到根治。

Objective：To explore the clinical feature,treatment and prognosis of gestational trophoblastic tumor. Methods：Retrospectively analyzed the clinical pathological materials of 11 patients with carcinoid and malingnant gestational trophoblastic tumor treated from January.1997 from December 2008 in our hospital.Results：fn the 28 cases, 1 case of erosive hydatidiform mole did not relapse after the chemical treatment of 3 years＇ survey;2 cases went back to the inland due to＂lung transference and continuous hydatidiform mole＂;5 cases was still in the follow-up survey; the last had been cured after follow-up survey.Conclusion：Gestational trophoblastic tumor have a higher rate or happening; The carcinoid tumor has a better prognosis,yet people should guard its initial bad change;malignant gestational trophoblastic tumor can be cured after the positive chemical treatment.