[妊娠晚期卵巢肿瘤的发病率]

[The incidence of ovarian tumors in the third trimester of pregnancy].

作者信息

Drews Krzystof, Malewski Zbyszko, Bałoniak Barbara, Gurynowicz Grzegorz, Breborowicz Grzegorz, Słomko Zbigniew

出版信息

Ginekol Pol. 2002 Apr;73(4):337-41.

Abstract

METHOD AND RESULTS

Between 1993 and 2000, 7529 patients underwent cesarean section (24.3% of 31,798 delivering women) at University Hospital in Poznań. There were 52 cases of simultaneous adnexal surgery among them because of ovarian tumors (1 case/144 abdominal deliveries; 1 case/612 pregnancies). In 43 cases tumor was accidentally diagnosed at time of operative delivery (1/174 abdominal deliveries). The average age of all delivering women was 27 +/- 7 yrs, among abdominally delivering 28 +/- 7 yrs. The respective value for patients with ovarian tumor was significantly higher--30 +/- 7 yrs. The mean diameter of the tumor was 4.8 +/- 4.7 cm, but the largest 30 cm. In 9 cases adnexectomy was performed, remaining patients were treated conservatively. Benign cyst teratoma was diagnosed in 26.9%, cystis simplex in 21.2%, fibroma in 15.4%, endometriosis and luteal cyst every in 9.6%. There were two cases of malignant tumors, both diagnosed earlier: dysgerminoma and adenocarcinoma.

CONCLUSIONS

incidence of ovarian tumors of pregnant women was previously probably underestimated, 2. the risk of malignant ovarian tumor is relatively low.

摘要

方法与结果

1993年至2000年间，7529例患者在波兹南大学医院接受了剖宫产手术（占31798例分娩女性的24.3%）。其中有52例因卵巢肿瘤同时进行了附件手术（1例/144例经腹分娩；1例/612例妊娠）。43例肿瘤在手术分娩时被意外诊断（1/174例经腹分娩）。所有分娩女性的平均年龄为27±7岁，经腹分娩者为28±7岁。卵巢肿瘤患者的相应年龄显著更高——30±7岁。肿瘤的平均直径为4.8±4.7厘米，但最大的为30厘米。9例进行了附件切除术，其余患者接受保守治疗。诊断为良性囊性畸胎瘤的占26.9%，单纯囊肿占21.2%，纤维瘤占15.4%，子宫内膜异位症和黄体囊肿各占9.6%。有2例恶性肿瘤，均较早诊断：无性细胞瘤和腺癌。