论文部分内容阅读
儿童期卵巢癌罕见,20岁以下占所有卵巢肿瘤6%,多数来源于生殖细胞。在Anderson医院和肿瘤研究所15年来仅见47例几童卵巢恶性肿瘤,47例中85%是生殖细胞肿瘤,10.6%是间质肿瘤,4.4%是上皮性肿瘤,分布与成人相反。本文报导21例16岁(7~15岁)以下的卵巢恶性肿瘤,其中包括恶性畸胎瘤、内胚窦瘤、混合生殖细胞瘤及睾丸间质肿瘤。分期:Ⅰ期8例、Ⅱ期1例、Ⅲ期7例和Ⅳ期5例。剖腹探查尽可能切除肿瘤,除非必需全部切除肿瘤,一般保留对侧卵巢和子宫。腹膜表面、横隔膜下、
Ovarian cancer is rare in childhood, and it accounts for 6% of all ovarian tumors under the age of 20, mostly from germ cells. In the Anderson Hospital and Cancer Research Institute, only 47 children with ovarian malignant tumors were seen in 15 years. Of the 47 patients, 85% were germ cell tumors, 10.6% were mesenchymal tumors, and 4.4% were epithelial tumors. The distribution was contrary to adults. This article reports 21 cases of ovarian malignant tumors aged 16 to 15 years old, including malignant teratoma, endodermal sinus tumors, mixed germ cell tumors, and testicular stromal tumors. Stages: 8 cases in stage I, 1 case in stage II, 7 cases in stage III, and 5 cases in stage IV. The exploratory laparotomy seeks to resect the tumor as much as possible, unless it is necessary to remove the tumour in its entirety, usually with the contralateral ovary and uterus. The peritoneal surface, under the diaphragm,