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卵巢原发性绒癌很少见,而绝经后卵巢原发性非妊娠性绒癌更为罕见,我院建院40年间仅见3例,占卵巢恶性肿瘤的0.6%,报告如下,本组3例卵巢绒癌年龄54岁~60岁,均已绝经7年~13年,都有下腹肿块、腹水及阴道不规则出血史.妇科检查:盆腔肿块直径平均12.6cm,与盆腔脏器有不同程度的粘连.B超示卵巢恶性肿瘤.3例均行全宫及双附件切除术.病理报告:1例为卵巢单纯性绒癌.另2例为卵巢混合性绒癌(伴其他生殖细胞瘤成分).血、尿HCG术前未测,术后,尿HCG2例阴性,1例阳性;血HCG1例19.4mIu/L,另2例正常.术后补加化疗.随访:2例死亡,生存期20个月左右;1例6个月尚健在.
Ovarian primary choriocarcinoma is rare, and postmenopausal ovarian primary non-pregnant choriocarcinoma is more rare, our hospital only 40 cases 40 years, accounting for 0.6% of ovarian cancer, the report is as follows, the group 3 Cases of ovarian choriocarcinoma aged 54 to 60 years, have been menopause for 7 years to 13 years, have a lower abdomen mass, ascites and vaginal irregular bleeding history .Gynecological examination: average pelvic mass diameter 12.6cm, and pelvic organs have different degrees Of the adhesions .B ultrasound showed ovarian cancer .3 cases underwent whole-palace and double-attachment resection.Pathological report: 1 cases of ovarian simple choriocarcinoma.The other 2 cases of ovarian mixed choriocarcinoma (with other germ cell tumor components ) Blood, urine HCG were not measured before surgery, postoperative urinary HCG2 cases were negative, 1 case of positive; blood HCG1 cases 19.4mIu / L, the other 2 cases of normal. Postoperative chemotherapy. Follow-up: 2 cases of death, 20 months or so; 1 case 6 months still alive.