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目的探讨卵巢成熟性畸胎瘤临床病理特征。方法对558例卵巢成熟性畸胎瘤患者的临床病理资料进行分析。结果卵巢成熟性畸胎瘤占卵巢肿瘤的40.7%,占生殖细胞肿瘤的96.8%。可发生任何年龄,以20～45岁为多(86.3%),平均年龄32.7岁。临床主要症状为下腹痛或下坠感(72%),以单侧生长多见(91.6%),左右无明显差异;并发蒂扭转116例(20.8%),感染29例(5.2%),恶变8例(1.4%),破裂7例(1.3%),复发6例(1.1%)。组织学检查,外、中、内三个胚叶组织分别占100%、76.2%及38%。结论对于卵巢成熟性畸胎瘤应及时手术,以减少并发症的发生。
Objective To investigate the clinicopathological features of mature ovarian teratoma. Methods The clinical and pathological data of 558 patients with mature ovarian teratoma were analyzed. Results Ovarian mature teratoma accounted for 40.7% of ovarian tumors, accounting for 96.8% of germ cell tumors. Any age can occur, 20-45 years old (86.3%), the average age of 32.7 years old. The main clinical symptoms of lower abdominal pain or feeling of falling (72%), unilateral growth more common (91.6%), no significant difference between left and right; concurrent pedicle torsion in 116 cases (20.8%), infection in 29 cases Cases (1.4%), rupture in 7 cases (1.3%), recurrence in 6 cases (1.1%). Histological examination, the outer, middle and inner three embryonic leaf tissue accounted for 100%, 76.2% and 38%. Conclusion For the mature ovarian teratoma should be timely surgery to reduce the incidence of complications.