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为探讨卵巢肿瘤的组织学类型 ,对北京妇产医院 1982年 1月至 1999年 12月收治的卵巢肿瘤的病理资料 ,按WHO标准进行登记统计。结果 :18年共收治 3582例卵巢肿瘤患者 ,按良恶性分类 ,良性肿瘤 30 6 8例 ,占85.6 5% ;恶性肿瘤及交界性肿瘤 514例 ,占 14 .35% (其中恶性肿瘤 4 19例 ;占 11.70 % ;交界性肿瘤 95例 ,占2 .6 5% ) ;按组织学类型分类 ,上皮性肿瘤 136 2例 ,占 38.0 2 % ;生殖细胞肿瘤 190 8例 ,占 53.2 7% ;性索间质肿瘤 2 80例 ,占 7.81% ;转移性肿瘤 18例 ,占 0 .50 % ;非特异性软组织肿瘤 14例 ,占 0 .4 0 %。恶性卵巢肿瘤中 ,以上皮性肿瘤所占比例最高 ,占 6 6 .73% ,其次为生殖细胞肿瘤占 16 .95% ,性索间质肿瘤占 13.0 3%。 2 0岁以前的恶性卵巢肿瘤中 ,生殖细胞肿瘤占 71.87% ;恶性上皮性肿瘤的平均年龄 ( 47.8± 11.0 )岁。结果提示 :卵巢生殖细胞肿瘤较上皮肿瘤更常见 ,恶性肿瘤中以上皮性肿瘤最常见 ,2 0岁以前的卵巢肿瘤中恶性生殖细胞肿瘤占多数
To investigate the histological types of ovarian tumors, the pathological data of ovarian tumors admitted to Beijing Maternity Hospital from January 1982 to December 1999 were registered according to the WHO standard. Results: A total of 3582 cases of ovarian tumors were treated in 18 years. According to benign and malignant classification, there were 30 68 cases of benign tumors, accounting for 85.6%; 514 cases of malignant tumors and borderline tumors, accounting for 14.35% (including 419 cases of malignant tumors ; Accounting for 11.70%; borderline tumors 95 cases, accounting for 2.56%); by histological classification, 136 cases of epithelial tumors, accounting for 38.0%; 1908 cases of germ cell tumors, accounting for 53.2%; 80 cases of interstitial neoplasms, accounting for 7.81%; 18 cases of metastatic tumors, accounting for 0.50%; 14 cases of non-specific soft tissue tumors, accounting for 0.40%. Malignant ovarian tumors, the highest proportion of epithelial tumors, accounting for 66.73%, followed by germ cell tumors accounted for 16.95%, sex cord stromal tumors accounted for 13.0 3%. In malignant ovarian tumors before the age of 20, germ cell tumors accounted for 71.87%; the average age of malignant epithelial tumors (47.8 ± 11.0) years. The results suggest that: ovarian germ cell tumors are more common than epithelial tumors, malignant tumors to the most common epithelial tumors, 20 years of age ovarian tumors in the majority of malignant germ cell tumors