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本文对13例卵巢内胚窦瘤的临床及病理特点进行讨论分析。其中4例在外院误诊为腺癌。本文讨论了此癌与腺癌的病理鉴别要点。10例行AFP检查者,一例术前后检查均为阴性。此例似可说明在较少数的患者中,AFP检测可能阴性。手术治疗是最重要的治疗方法。一般病人应行卵巢癌根治术,但对病期较早的青少年患者,保留健侧卵巢是可取的。术后化疗极为重要。化疗方法主张采用联合化疗。腹腔内化疗可提高局部药物浓度,减少毒副作用,增加疗效。
In this paper, 13 cases of ovarian endodermal sinus tumor clinical and pathological features were discussed and analyzed. Four of them were misdiagnosed as adenocarcinoma outside the hospital. This article discusses the main points of the pathology of this cancer and adenocarcinoma. 10 routine AFP examination, a case of preoperative and postoperative examination were negative. This may indicate that in a minority of patients, AFP testing may be negative. Surgical treatment is the most important treatment. Patients with general ovarian cancer should be radical surgery, but older patients with early stage, the retention of the contralateral ovary is desirable. Postoperative chemotherapy is extremely important. Chemotherapy advocates the use of combination chemotherapy. Intraperitoneal chemotherapy can increase the local drug concentration, reduce side effects and increase efficacy.