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据统计,绝经后因妇科疾病住院者中,以肿瘤占首位,赴、恶性肿瘤之比为40:60。观将绝经后妇女可能发生的良性肿瘤简述如下。 1 卵巢肿瘤最常见,约占绝经后妇科良性肿瘤的73％～85％,同期卵巢肿瘤的74％。一般认为肿瘤在绝经前即已存在。常见的就诊原因是腹部肿块、腹胀、绝经后出血。有报道绝经后卵巢肿瘤,特别是畸胎瘤也可发生蒂扭转而致急性腹痛。另外,绝经后良性卵巢肿瘤恶变机会大,所以如病人情况允许,一般作全子宫十双侧附件切除术,无必要保留子宫及对侧卵巢。如遇到绝经后妇女的卵巢如育龄妇女卵巢大小,又无其他症状,称绝经后可触卵巢综合征(PMPO)。绝经后卵巢有萎缩倾向,因此不可能触及。有作者报道3例PMPO,手术证实均为卵巢恶性肿瘤,所以临床上必须高度重视。
According to statistics, postmenopausal women hospitalized for gynecological diseases, the tumor to the top, to go, the ratio of malignant tumors was 40:60. The concept of benign tumors that may occur in postmenopausal women is summarized as follows. 1 Ovarian tumors are the most common, accounting for about 73% to 85% of benign and malignant gynecological tumors in postmenopausal women, and 74% of ovarian tumors in the same period. Generally believed that the tumor already exists before the menopause. Common causes of treatment are abdominal mass, abdominal distension, bleeding after menopause. It has been reported that postmenopausal ovarian cancer, especially teratoma may also occur due to torsion and acute abdominal pain. In addition, benign ovarian cancer postmenopausal malignant opportunities, so if the patient allows, generally for the entire uterine ten bilateral attachment resection, there is no need to retain the uterus and contralateral ovary. In case of postmenopausal women ovary, such as women of childbearing age ovarian size, but also no other symptoms, said menopause testicular ovarian syndrome (PMPO). After menopause ovarian atrophy, it is impossible to touch. Some authors have reported 3 cases of PMPO, surgery confirmed as ovarian cancer, so clinically must attach great importance.