卵巢颗粒细胞瘤的治疗(附35例分析)

The Treatment of Granulosa Cell Tumor of Ovary Clinical Analysis of 35 Cases

对３５例卵巢颗粒细胞瘤患者的临床病理资料进行回顾性分析。全部患者均接受过至少一次手术治疗，采取单纯手术６例，术后辅助放疗７例，术后辅助化疗１３例，辅以放疗＋化疗９例。结果：按寿命表法统计，３年、５年生存率分别为８７．３％、７５．８％，伴有子宫内膜增生者占３４．３％。认为卵巢颗粒细胞瘤的治疗应采用以手术为主的综合疗法，除Ｉａ期外，单纯手术治疗复发率高。术后辅以联合化疗是减少肿瘤复发、提高生存率的有效措施。

To analyse the clinical and pathological information of 35 cases with granular cell tumor of ovary treated in our hospital,all patients received at least 1 time operation 6 cases received operation alone,7 cases received postoperative radiotherapy,13 cases were given postoperative chemotherapy,9 cases were given postoperative radiotherapy and chemotherapy Results:Calculated by life table,the 3,5 year survival rate was 87 3%,75 8% respectively 12 cases(34 3%)accompanied by endometrial hyperplasia Conclusion:Combined therapeutic modalities should be adopted in the treatment of ovarian granulosa cell tumor,postoperative chemotherapy is an effective method of decreasing recurrent rate and improving survival rate