论文部分内容阅读
作者分析58例恶性畸胎瘤,不包括其他胚细胞肿瘤(如内胚层窦瘤、绒癌及无性细胞瘤),因而可以确定“真性”恶性畸胎瘤之临床与病理特征,及其与预后之关系。病人年龄为14个月至40岁,平均年龄19岁。80%病人察觉有盆腔或腹部肿块。腹痛(44%)及局部压痛(18%)较为常见。局限于单侧卵巢肿瘤(第一期)有40例(69%)扩散到卵巢以外的肿瘤有18例(31%),其中9例有第Ⅱ期转移,包括3例有包膜及子宫旁组织浸润,6例为包囊性卵巢肿瘤有盆腔腹膜转移。40例Ⅰ期病人中34例(85%)首次治疗是单侧
The authors analyzed 58 malignant teratomas and did not include other blast cell tumors (eg, endodermal sinus tumors, choriocarcinomas and dysgerminoma), which allowed the determination of the clinical and pathological features of “true” malignant teratomas and their association with prognosis Relationship. The patient’s age ranged from 14 months to 40 years with a mean age of 19 years. 80% of patients notice pelvic or abdominal mass. Abdominal pain (44%) and local tenderness (18%) are more common. Of the 40 cases (69%) confined to unilateral ovarian tumors (stage I), 18 (31%) had tumors that spread beyond the ovary, 9 of whom had stage II metastases, including 3 cases with peritumoral Tissue infiltration, 6 cases of cystic ovarian tumors have pelvic peritoneal metastasis. Of the 40 patients with stage I disease, 34 (85%) were treated unilaterally for the first time