Pinet C, Felgeres A, Colau J C
Service de Gynécologie Obstétrique, Centre Médico Chirurgical Foch, Suresnes.
J Chir (Paris). 1990 Nov;127(11):528-32.
This was a retrospective study for the years 1979 to 1989 involving histological examination of ovarian cysts in women over 50 years who underwent surgery in our Department. A higher incidence of malignant tumours was found (32%), associated with a late diagnosis (70%) diagnosed stage III or IV). There was a higher incidence of fibrothecomas (10%) among benign tumours and functional cysts were only found in non menopausal or recently menopausal women taking hormone replacement therapy. There results allow a more specific therapeutic attitude in menopausal women i.e. laparoscopic surgery or laparotomy. Ultrasound puncture is very debatable, since this is inappropriate for an organic cyst. The authors review the complementary investigations performed for ovarian cyst, these include essentially ultrasound and Ca 125. Possible therapies include transparietal cystectomy, intraperitoneal cystectomy or laparotomy and excision.
这是一项针对1979年至1989年的回顾性研究，涉及对在我院接受手术的50岁以上女性卵巢囊肿进行组织学检查。发现恶性肿瘤的发生率较高（32%），且诊断较晚（70%），确诊时为III期或IV期。在良性肿瘤中，纤维卵泡膜瘤的发生率较高（10%），功能性囊肿仅在未绝经或近期绝经且接受激素替代治疗的女性中发现。这些结果有助于对绝经后女性采取更具针对性的治疗方法，即腹腔镜手术或剖腹手术。超声穿刺存在很大争议，因为它不适用于器质性囊肿。作者回顾了针对卵巢囊肿进行的辅助检查，这些检查主要包括超声和Ca 125。可能的治疗方法包括经皮囊肿切除术、腹腔内囊肿切除术或剖腹手术及切除。
