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[卵巢成熟性畸胎瘤。112例临床病理研究并文献复习]

[Ovarian mature teratoma. Clinico-pathological study of 112 cases and review of the literature].

作者信息

Morillo Conejo Manuel, Martín Cañadas Fernando, Muñoz Carmona Víctor, González-Sicilia Muñoz Eduardo, González Sicilia Cotter Eduardo, Carrasco Rico Santiago

机构信息

Servicio de Obstetricia y Ginecología Hospital Universitario Reina Sofía Córdoba, España.

出版信息

Ginecol Obstet Mex. 2003 Sep;71:447-54.

Abstract

A retrospective, descriptive study of 112 patients diagnosed and treated of mature ovarian teratoma, between January 1995 and September 2001, at Reina Sofía University Hospital, was carried out. The patient's mean age is 36.2 years old (SD = 13.8). The most frequently symptom was abdominal pain (50.9%) though a high percentage of the cases (41.1%) the patients were asymptomatic. The mean size of the tumor was 76.2 mm (SD = 35.8) and 9.8% were bilateral. The most used diagnostic procedure was ultrasound with a right diagnostic of 47.6%, though 81.3% of the cases a surgery was performed, with a preview diagnostic of ovarian tumor and the 53.8% with the right diagnostic of benign teratoma. 18.7% of the tumors was found in a laparotomy for other cause. From the 123 tumors, 96% were benign ovarian cyst, 1.6% mature solids teratomas and 2.4% struma ovarii. The most frequent surgery was unilateral oophorectomy (54.5%) and 19.6% was total hysterectomy with bilateral oophorectomy, with the mean age of this last ones of 54.8 years old (SD = 12.0). The preservation of the ovarian function was in 75% of the patients. We will analyze our results and compare with the bibliography.

摘要

对1995年1月至2001年9月在雷纳·索菲亚大学医院诊断并治疗的112例成熟卵巢畸胎瘤患者进行了一项回顾性描述性研究。患者的平均年龄为36.2岁(标准差=13.8)。最常见的症状是腹痛(50.9%),不过有相当比例的病例(41.1%)患者无症状。肿瘤的平均大小为76.2毫米(标准差=35.8),9.8%为双侧性。最常用的诊断方法是超声,诊断正确率为47.6%,不过81.3%的病例进行了手术,术前诊断为卵巢肿瘤,其中53.8%正确诊断为良性畸胎瘤。18.7%的肿瘤是在因其他原因进行剖腹手术时发现的。在123个肿瘤中,96%为良性卵巢囊肿,1.6%为成熟实性畸胎瘤,2.4%为卵巢甲状腺肿。最常见的手术是单侧卵巢切除术(54.5%),19.6%是全子宫切除术加双侧卵巢切除术,后者的平均年龄为54.8岁(标准差=12.0)。75%的患者保留了卵巢功能。我们将分析我们的结果并与文献进行比较。

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