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目的 探讨儿童卵巢肿瘤的临床病理特征。方法 回顾分析经病理证实的 2 6例。年龄 6～ 14岁 ,均有腹部包块 ,73 %有腹痛 ,其中 9例合并蒂扭转。良性 16例、恶性 10例。结果 本组 2 6例 ,占同期卵巢肿瘤的 1.6 8% ,恶性率 3 8.46 % ,生殖细胞肿瘤最多见 ,占 88.46 %。结论 因小儿附件位置较成人高 ,卵巢肿瘤易误为腹腔肿瘤 ,发生蒂扭转时常导至急腹症 ,无症状时常易漏诊 ,故临床医生应提高警惕。
Objective To investigate the clinicopathological features of ovarian tumors in children. Methods Retrospective analysis of 26 cases confirmed by pathology. Age 6 to 14 years old, have abdominal mass, 73% have abdominal pain, of which 9 cases with pedicle torsion. 16 cases were benign and 10 cases were malignant. Results The group of 26 cases, accounting for 1.6 8% ovarian cancer over the same period, the malignant rate of 3 8.46%, the most common germ cell tumors, accounting for 88.46%. Conclusion Due to the higher attachment position in children, ovarian tumors are easily mistaken as abdominal tumors. Til often leads to acute abdomen when the pedicle torsion occurs. Clinicians should be vigilant when they are asymptomatic.