卵巢无性细胞瘤52例临床病理分析

Clinicopathologic Diagnosis of 52 Cases of Ovarian Dysgerminoma

目的 对 52例卵巢无性细胞瘤临床病理进行探讨。方法 复习全部病史及病理切片资料。结果 随访 50例 ,随访率为 96 % ,11例死亡 ,其中肿瘤合并妊娠 4例 ,Ⅲ、Ⅳ期 6例 ,包括 2例混有胚胎性癌成分 ,静脉内有瘤栓 1例。育龄妇女 7例 ,治疗后生育孩子。结论 正确合理治疗是提高生存率及生育的根本保证。单纯性无性细胞瘤预后好 ,肿瘤合并妊娠预后最差。

Objective To explore the clinical pathology of ovarian dysgerminoma.Methods Review the whole medical history and pathological section material.Results There were 50 cases acquired followed-up survey.The follow-up survey rate was 96%,11 patient died.Among them 4 cases were tumor companied with pregnance,6 cases were stage Ⅲ and Ⅳ,including 2 cases which mixed with embryonic cancer component.1 case had tumor emboli at intravenus.and 7 women which during child bearing age have bearn their children after treatment.Conclusion The right、rational treatment provided the basal guaranty of elevated survival rate and bearing.The prognosis of single dysgerminoma is good,but the prognosis of tumor with pregnance is the worst.