450例卵巢成熟性畸胎瘤临床病理回顾性分析

Retrospective analysis on the clinical pathology of 450 ovary mature teratomas

目的 :探讨卵巢成熟性畸胎瘤的临床病理特征。方法 :对 4 5 0例卵巢成熟性畸胎瘤临床病理资料进行回顾性分析。结果 :卵巢成熟性畸胎瘤占卵巢肿瘤的 36 .5 % ,占生殖细胞肿瘤的 96 .2 % ,可以发生任何年龄 ,以 2 0～5 0岁为多 (占 86 .0 % ) ,平均年龄 33岁。临床主要症状为下腹痛或下坠感 (70 .0 % ) ,以单侧生长多见 (91.2 % ) ,左右无明显差异 ;并发蒂扭转 6 2例 (13.8% ) ,感染 14例 (3.1% ) ,破裂 6例 (1.3% ) ,恶变 5例 (1.1% )。组织学检查 ,外、中、内 3个胚叶组织分别占 10 0 .0 %、 73.9%和 32 .1%。结论 :对卵巢成熟性畸胎瘤应及时手术治疗 。

Objective: To study the clinical pathology characteristic of ovary mature teratoma Method: The clinical pathology data of 450 ovary mature teratomas were analyzed retrospectively Results: Ovary mature teratoma was 36 5% of ovary carcinoma, was 96 2% of reproductive cell carcinoma It could occur at any age, 86 0% was at from 20 to 50 years old, the average age was 33 The primary clinical symptoms were inferior venter pains or straining feel (70 0%) It usually grew in one side (91 2%), hadn't obvious difference between the left and the right Complications included that pediculotorsion of 62 cases (13 8%), infection of 14 cases (3 1%), ovary break of 6 cases (1 3%), canceration of 5 cases (1 1%) The histology examination found that the ectoblast, mesoderm and endoderm were 100 0%, 73 9% and 32 1% respectively Conclusion: The patients with ovary mature teratoma should be treated in good time by the surgery to decrease the complication