论文部分内容阅读
目的探讨小儿畸胎瘤临床病理与治疗预后的关系。方法对377例小儿畸胎瘤的病理、AFP及随访,进行回顾性分析。结平恶性57例,占1512%。有6例病理报告为良性,术后复发为恶性。结去畸胎瘤的实质部分应现为潜在恶性;如有间变组织存在,应现为恶性;对AFP增高而病理报告为良性者,应仔细检查畸胎瘤组织中有无卵黄囊组织。早期应彻底切除肿瘤。对骶尾部隐匿型、混合型畸胎瘤,在切除肿瘤及尾骨的同时,还应切除1~2节骶骨。
Objective To investigate the relationship between clinicopathology and prognosis in pediatric teratoma. Methods 377 cases of pediatric teratoma pathology, AFP and follow-up, were retrospectively analyzed. 57 cases of malignant flat, accounting for 1512%. There were 6 pathological reports of benign, postoperative recurrence was malignant. Knock to the teratoma in the substantial part should be as potentially malignant; if the presence of metachronous tissue, should be malignant; AFP increased and the pathological report was benign, should be carefully examined teratoma tissue with or without yolk sac tissue. Early radical resection of the tumor. On the sacrococcygeal concealed, mixed teratoma, tumor and coccyx removed at the same time, should be removed 1-2 sacrum.