Adamian R T
Vopr Onkol. 1991;37(5):595-9.
Apparent signs of hormonal activity were observed in 65.3% of patients with hormone-producing ovarian tumors of different histology. Feminization was evident in 69.1% of cases of granulosa-stromal cell tumors: it was most often seen in patients with mixed theca-granulosa cell tumors (86.2%) but was least frequent in those with Brenner's tumor (22.2%). The occurrence of proliferative lesions of the uterus such as hyperplasia of the endometrium, cervical canal polyps and uterine myoma (81.8%) was higher in patients with granulosa-stromal cell tumors, too, the highest rate being observed for cases of mixed theca-granulosa cell tumors (93.1%) whereas the lowest--for patients with Brenner's tumor (27.8%). Various clinical signs of masculinization were most often seen in cases of androblastoma (79.2%) whereas the proliferative disorders in that group were rare (12.5%). As a result, the authors placed mixed theca-granulosa cell, theca cell, granulosa cell tumors and Brenner's tumor in the order of decreasing feminizing activity. In the granulosa-stromal cell tumor subgroup, masculinization was most often observed in granulosa cell tumor patients (12.1%).
在65.3%的不同组织学类型的激素分泌性卵巢肿瘤患者中观察到明显的激素活性迹象。在69.1%的颗粒-间质细胞瘤病例中可见女性化表现:最常见于混合性卵泡膜-颗粒细胞瘤患者(86.2%),而在勃勒纳瘤患者中最少见(22.2%)。颗粒-间质细胞瘤患者出现子宫内膜增生、宫颈管息肉和子宫肌瘤等子宫增殖性病变(81.8%)的比例也较高,混合性卵泡膜-颗粒细胞瘤病例的发生率最高(93.1%),而勃勒纳瘤患者的发生率最低(27.8%)。各种男性化临床体征最常见于睾丸母细胞瘤病例(79.2%),而该组中的增殖性疾病较少见(12.5%)。因此,作者将混合性卵泡膜-颗粒细胞瘤、卵泡膜细胞瘤、颗粒细胞瘤和勃勒纳瘤按女性化活性降低的顺序排列。在颗粒-间质细胞瘤亚组中,男性化最常出现在颗粒细胞瘤患者中(12.1%)。