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幼、少女肿瘤中1％系恶性卵巢肿瘤,新生儿极少发生,最早曾见于7月胎儿,至乳龄尤其幼女有增加的趋势。本文自1930至1937年共有31例幼、少女因卵巢肿瘤施行手术,结果22例为良性肿瘤,9例为恶性肿瘤。幼、少女卵巢肿瘤的临床症象,一般类似成人患者,可出现常见的不适症状如疲乏、无力、易怒、失眠、原因不明的呕吐、无原因的体温升高等,称为肿瘤症候群。恶性肿瘤迅速发展与邻近器官愈着,腹水形成,甚至囊性部分破裂。由于早期出现粘连,故蒂扭转较少见。早期症状为不明原因的下腹疼痛,可触及盆腔或腹腔肿瘤,使腹壁弹性隆起。由于肿瘤压迫下尿路偶有小便困难,甚而输尿管阻塞发生肾盂积水。肿瘤分泌雌激素可产生假青春期早熟现象,某些畸胎瘤由于绒毛膜上皮癌样分化分泌促性腺激素引起真正的青春期早至。卵巢的含睾丸细胞瘤或性腺细胞瘤引起的男性化现象极罕见,根据血浆睾丸素水平易于诊断。
1% of young and teenage tumors are malignant ovarian tumors, infants rarely occur, the earliest was seen in July fetus, especially to young age, especially in young women. This article from 1930 to 1937 a total of 31 cases of young and adolescent girls surgery for ovarian tumors, the results of 22 cases of benign tumors, 9 cases of malignant tumors. Clinical symptoms of young and teenage ovarian tumors are generally similar to those of adult patients. Common symptoms such as fatigue, weakness, irritability, insomnia, unexplained vomiting, and unexplained temperature increase may be called tumor syndromes. The rapid development of malignant tumors and adjacent organs, the formation of ascites, and even partial cystic rupture. Due to early adhesion, so torsion twist less common. Early symptoms of unexplained abdominal pain, palpable pelvic or peritoneal tumors, the elastic bulge of the abdominal wall. Urinary tract obstruction due to urinary pressure urinary difficulties, and even obstruction of the ureter hydronephrosis occurred. Tumor secretion of estrogen can produce false premature puberty phenomenon, some teratomas as choriocarcinoma-like differentiation and secretion of gonadotropin caused by real adolescence as early as. Ovarian masculine or testicular tumor caused by gonadal tumor is extremely rare, based on the plasma testosterone levels easy to diagnose.