卵巢Sertoli-Ledig细胞瘤临床病理分析

目的探讨卵巢Sertoli-Ledig细胞瘤(SLCT)的临床特征和病理诊断,以利于SLCT的准确诊断和生物学行为评价及指导治疗。方法分析了SLCT2例的临床特征、病理诊断和治疗方法及预后,并结合相关文献复习。结果 2例患者年龄分别为27、39岁,发生部位右侧卵巢1例,左侧卵巢1例。其中1例行患侧附件切除术,术后化疗。另1例行全子宫加患侧附件切除术。经短期随访均健在。结论临床上该瘤总的预后较好,手术为该肿瘤治疗的主要方式,年轻患者或有生育要求者行保守性手术,高龄且中、低分化型患者行全子宫及双侧附件切除,术后辅以化疗。

Objective To explore the clinical feature and pathological diagnosis of ovarian Sertoli-Ledig cell tumor.Methods two cases of SLCTs were analyzed by clinical data,pathomorphology ,therapeutic method and prognosis.And in conjunction with the relevant literature review Results The two patients were in age of 27 and 39 years,the tumors were located in the right ovary and left ovary respectively. Case 1 line of primary attachments resection, and postoperative adjuvant chemotherapy.case 2 did the whole uterine and lateral accessories resection. Both the short-term follow-up without recurrence.Conclusion Clinically this tumor generally prognosis is good, the operation is the main way of tumor treatment Young patients or have fertility demander line conseratie surgery, older and medium, low differentiated type patients do the whole uterine and bilateral accessories resection, postoperative complementary with chemotherapy.