Kayastha S
Department of Obs\Gynae Nepal Medical College Teaching Hospital, Jorpati, Nepal.
Nepal Med Coll J. 2009 Sep;11(3):200-2.
This was a retrospective study of all the cases of ovarian tumours operated in Nepal Medical College Teaching Hospital from January 2006 to July 2008. All the cases of ovarian tumour were included, irrespective of whether diagnosed preoperatively or found incidently during operation. The nature of tumour whether benign or malignant, their presenting symptoms, age, parity age of menarche, type of operation and histopathological finding was recorded. The incidence of ovarian tumour was 16.7% among total gynaecological admissions, out of which malignant ovarian tumour was 9.5%. The age range was 18 to 70 years. Benign tumour occurred in all age group 86 (90.5%) while maximum of malignant tumour occurred after 40 years (66.7%). Eleven point six percent were unmarried, 20.0% nulliparous, 7.4% were pregnant and 38.9% were of one to two parity. 10.0% were asymptomatic and commonest symptom was pain in lower abdomen (84.0%). Seventy two point six percent were surface epithelium tumour which is common in older women. Twenty seven percent were germ cell tumour which is common in younger age group. Commonest surface epithelial tumour was serous cyst adenoma (40.0%) and commonest germ cell tumour was Dermoid (25.3%).Commonest complication of ovarian cyst was torsion (12.6%).
这是一项对2006年1月至2008年7月在尼泊尔医学院教学医院接受手术的所有卵巢肿瘤病例的回顾性研究。纳入了所有卵巢肿瘤病例，无论术前是否诊断或手术中偶然发现。记录肿瘤的性质（良性或恶性）、其出现的症状、年龄、产次、初潮年龄、手术类型和组织病理学发现。卵巢肿瘤在妇科住院患者中的发生率为16.7%，其中恶性卵巢肿瘤为9.5%。年龄范围为18至70岁。良性肿瘤发生在所有年龄组，共86例（90.5%），而恶性肿瘤最多发生在40岁以后（66.7%）。11.6%未婚，20.0%未生育，7.4%怀孕，38.9%有一至两次生育史。10.0%无症状，最常见的症状是下腹部疼痛（84.0%）。72.6%为表面上皮肿瘤，在老年女性中常见。27%为生殖细胞肿瘤，在年轻年龄组中常见。最常见的表面上皮肿瘤是浆液性囊腺瘤（40.0%），最常见的生殖细胞肿瘤是皮样囊肿（25.3%）。卵巢囊肿最常见的并发症是扭转（12.6%）。
