卵巢肿物：临床组织病理学趋势的变化
Ovarian masses: changing clinico histopathological trends.
作者信息
Sharadha So, Sridevi T A, Renukadevi T K, Gowri R, Binayak Debbarman, Indra V
机构信息
Department of Obstetrics and Gynecology, ESIC Medical College and PGIMSR, K.K.Nagar, Chennai, 600078 TamilNadu India.
ESIC Medical College and PGIMSR, Chennai, 600078 India.
出版信息
J Obstet Gynaecol India. 2015 Feb;65(1):34-8. doi: 10.1007/s13224-014-0575-7. Epub 2014 Jun 6.
OBJECTIVE
To study the clinical and histopathological presentation of ovarian masses.
METHOD
Retrospective analysis of 205 cases from May 2009 to June 2013.
RESULTS
Incidence of ovarian masses was 6.9 %. Among 205 cases, 68 % were neoplastic. Among the neoplasms, 87.8 % were benign, 10 % malignant, and 2.2 % borderline. Mean ages of malignant and benign neoplasm were 41 and 39 years, respectively. 42.9 % malignant tumors presented with non-specific abdominal and constitutional symptoms. Serous cystadenoma was the commonest benign tumor (67 %) followed by Mucinous (19 %) and Dermoid (11.6 %). Most common malignant ovarian tumor was Serous cystadenocarcinoma (42.9 %). Out of the malignant cases, all were primary except one secondary deposit from Non-Hodgkin's Lymphoma. Only 28.6 % presented at stage I, remaining presented at stage III/IV.
CONCLUSION
Ovarian neoplasms have twice the incidence of non-neoplasms. Mean age of malignant tumors is decreased. Rising trend in Mucinous cystadenoma is noted.
目的
研究卵巢肿物的临床及组织病理学表现。
方法
回顾性分析2009年5月至2013年6月期间的205例病例。
结果
卵巢肿物的发生率为6.9%。205例病例中，68%为肿瘤性肿物。在肿瘤性肿物中，87.8%为良性，10%为恶性，2.2%为交界性。恶性和良性肿瘤的平均年龄分别为41岁和39岁。42.9%的恶性肿瘤表现为非特异性腹部及全身症状。浆液性囊腺瘤是最常见的良性肿瘤（67%），其次为黏液性（19%）和皮样囊肿（11.6%）。最常见的恶性卵巢肿瘤是浆液性囊腺癌（42.9%）。在恶性病例中，除1例非霍奇金淋巴瘤的转移灶外，均为原发性。仅28.6%的病例为Ⅰ期，其余为Ⅲ/Ⅳ期。
结论
卵巢肿瘤的发生率是非肿瘤性肿物的两倍。恶性肿瘤的平均年龄有所下降。黏液性囊腺瘤有上升趋势。
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