Chechia A, Kaubâa A, Bahri N, Terras K, Makhlouf T
Service de gynécologie obstétrique A Hôpital Charles Nicolle, Tunis.
Tunis Med. 1999 Nov;77(11):551-7.
Our purpose was to assess clinical particularities, diagnosis and therapeutic problems of ovarian tumors.
A retrospective study of 156 patients having undergone an operation for ovarian tumor not suspected to be malignant between january 1991 and june 1998. The clinical, ultrasonographic and tumor marker data were analysed.
Mean age of our patients was 34 years. 19 patients were menopausal. All ovarian masses were considered as benign at ultrasonographic scan. Serum CA125 level was measured in 42 cases. It was abnormal in 2 cases. 102 patients underwent laparotomy. 54 patients underwent laparoscopy, of these, 19 were converted to laparotomy due to a suspect macroscopic diagnosis (2 cases) or to technical difficulties (13 cases). Histological findings were 150 benign ovarian tumors, 12 fonctional cysts and 5 malignant ovarian tumors. Therefore, preoperative assessment had failed diagnosis of cancer in 5 cases.
The clinical, ultrasonographic and tumor markers triad remains the best preoperative approach currently available for ovarian tumors. However, the final diagnosis remains histological.
我们的目的是评估卵巢肿瘤的临床特点、诊断及治疗问题。
对1991年1月至1998年6月期间156例接受卵巢肿瘤手术且术前未怀疑为恶性的患者进行回顾性研究。分析临床、超声及肿瘤标志物数据。
患者平均年龄34岁。19例为绝经后患者。所有卵巢肿物在超声检查时均被认为是良性的。42例患者检测了血清CA125水平，其中2例异常。102例患者接受了剖腹手术。54例患者接受了腹腔镜检查，其中19例因宏观诊断可疑（2例）或技术困难（13例）转为剖腹手术。组织学检查结果为150例良性卵巢肿瘤、12例功能性囊肿和5例恶性卵巢肿瘤。因此，术前评估有5例未能诊断出癌症。
临床、超声及肿瘤标志物三联检查仍是目前卵巢肿瘤最佳的术前检查方法。然而，最终诊断仍需依靠组织学检查。
