卵巢无性细胞瘤10年生存率随访结果及分析

Follow-up and Analysis on 10-years Survival Rate of Ovary Dysgerminoma

目的探讨卵巢无性细胞瘤的治疗与预后。方法３４例卵巢无性细胞瘤均采用手术加放疗。结果３４例病例中，Ⅰ、Ⅱ期１８例１０年生存率１００％，Ⅲ期１５例１０年生存率为９３０％，Ⅳ期１例生存１５个月，总生存率为９４１％。结论卵巢无性细胞瘤属恶性肿瘤，对放疗及化疗均十分敏感，能获得较佳治疗效果，但应加强随访，随访可采用血乳酸脱氢酶及其同工酶作为判断该肿瘤浸润转移倾向的特异性肿瘤标志物。

Objective\ To study the treatment and prognosis of ovary dysgerminoma.Methods\ 34 cases of ovary dysgerminoma were treated by operation plus radiotherapy.Results\ In all of the 34 cases,10-year survival rate was 100% in 18 cases of stage Ⅰ and Ⅱ,93% in 15 of stage Ⅲ.One case of stage Ⅳ lived for only 15 months.The total survival rate was 94 1%.Conclusions\ Ovary dysgerminoma is a kind of malignant tumor,which is very sensitive to chemotherapy and radiotherapy.After treatment,blood lactic dehydrogenase and its isoenzymes might be used as specific markers to judge the infiltrative tendency of the neoplasm.