Adamian R T
Vopr Onkol. 1988;34(5):562-5.
Case histories of 427 patients with main histotypes of hormone-producing tumors of the ovaries (201--theca-cell, 177--granulosa-cell, 28--mixed theca-granulosa-cell and 21--virilizing) were analyzed. The problem of differential diagnosis of malignant forms of these tumors by methods of clinical examination was studied. Major statistically significant clinical signs of malignancy of hormone-producing tumors of the ovaries--extension of abdomen and abdominal pain, relatively short duration of case history, bilateral lesions, large size of sessile tuberculous tumors, high level of ascites, especially hemorrhagic one, and comparatively young age of patients--were established.
分析了427例卵巢激素分泌性肿瘤主要组织学类型患者的病历(201例卵泡膜细胞瘤、177例颗粒细胞瘤、28例卵泡膜 - 颗粒细胞混合瘤和21例男性化肿瘤)。研究了通过临床检查方法对这些肿瘤恶性形式进行鉴别诊断的问题。确定了卵巢激素分泌性肿瘤恶性的主要具有统计学意义的临床体征——腹部增大和腹痛、病史相对较短、双侧病变、无蒂结核性肿瘤体积大、腹水水平高,尤其是血性腹水,以及患者相对年轻。