儿童及青少年卵巢肿瘤(附108例临床病理分析)

Ovarian Tumors in Children and Adolescents:A Clinicopathologic Analysis of 108 Cases

沂蒙山区1966～1984年间收治卵巢肿瘤1,715例,其中儿童及青少年(＜1～17岁)卵巢肿瘤108例,发病率为6.4%.按WHO卵巢肿瘤组织学分类,结合范郎娣提出的标准,复查了全部病理切片,并整理有关临床资料,报道如下.

The present paper is a retrospective study of ovarian tumors in 108 children and adolescents (7 months to 17 years of age) from Yimeng areas.The tumors were classified into three major categories, of which germ cell tumors made up 72%,epithelial tumors,18.5%,sex cord interstitial umors,5.5%,and bilateral tumors,4.63%.The germ cell tumors were subdivided into 5 groups: Teratoma (81.7%), dysgerminoma (6.01%), endodermal sinus tumor (3.7%), embryonal carcinoma (1.9%) and malignant mixed germ cell tumors (3.7%). Abdominal pain was the most common complaint ,and an abdominal mass, the most common sign. Calcification on abdominal films was seen in 36 patients with benign teratoma. Of the 31 patients with malignant tumors, after treatment,10 survived for 1-8 years,5 died and 16 cases were unavailable for follow-up.