Hernandez E, Miyazawa K
Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, Hawaii.
J Reprod Med. 1988 Apr;33(4):361-4.
The pathologic findings on 100 women undergoing laparotomy for a pelvic mass between August 1983 and September 1986 were analyzed. The most frequent diagnoses by age group were: cancer in 56% of women greater than or equal to 50 years of age, endometriosis in 27% of women 31-49 years of age and benign cystic teratoma in 33% of women less than or equal to 30 years of age. A malignancy was present in 17 women; five (29%) of the tumors had low malignant potential. Pelvic masses proved to be malignant in 9 (56%) of 16 women greater than 50 years old as compared to 4 (10%) of 39 women less than 30 years old (P less than .01). Of the four malignant tumors in women less than or equal to 30 years of age, three (75%) had low malignant potential as compared to one of nine (11%) in women greater than or equal to 50 years of age (P = .05). This series gives the clinician some numbers on which to base diagnostic probability as it relates to age when evaluating the woman with a pelvic mass.
对1983年8月至1986年9月期间因盆腔肿物接受剖腹手术的100名女性的病理结果进行了分析。按年龄组划分，最常见的诊断结果如下：50岁及以上女性中，癌症占56%；31 - 49岁女性中，子宫内膜异位症占27%；30岁及以下女性中，良性囊性畸胎瘤占33%。17名女性存在恶性肿瘤；其中5个（29%）肿瘤具有低恶性潜能。16名50岁以上女性中，9个（56%）盆腔肿物被证实为恶性，而39名30岁以下女性中，4个（10%）盆腔肿物被证实为恶性（P < 0.01）。30岁及以下女性的4个恶性肿瘤中，3个（75%）具有低恶性潜能，而50岁及以上女性的9个恶性肿瘤中，只有1个（11%）具有低恶性潜能（P = 0.05）。该系列研究为临床医生在评估有盆腔肿物的女性时，提供了一些与年龄相关的用于诊断概率判断的数据。
