Maheshwari V, Tyagi S P, Saxena K, Tyagi N, Sharma R, Aziz M, Hameed F
Department of Pathology, Jawaharlal Nehru Medical College, Aligarh Muslim University.
Indian J Pathol Microbiol. 1994 Jan;37(1):75-85.
Surface epithelial tumours (SET) constituted 65.7% of all the ovarian tumours. Benign tumours were 182 (71.9%), of low malignant potential (LMP) 11 (4.4%) and frank malignant 60 (23.7%). Maximum number of cases, 102 (40.3%) belonged to 3rd decade. Mean age for serous cystoma was 31.5% years as compared to 30.8 years for mucinous cystoma. The commonest presenting feature was the abdominal lump observed in 182 cases (71.9%) and pain in abdomen in 120 (47.4%). Serous cystomas were t he most frequent tumours and comprised of 32.21% of all the ovarian tumours or 46.01% of all the SET or 65.56% of all the cystic SET. Seventeen (11.7%) of serous tumours were bilateral. Mucinous cystomas constituted 14.55% of all the ovarian tumours or 30.8% of all the SET. These tumours were bulky (78.6%; 15 cm diameter) and multilocular (83.9%). Mucinous cystadenocarcinoma was the commonest malignant epithelial tum our (36.6%). Endometroid carcinoma comprised 3.65% of all the SET or 8.4% of all the ovarian malignancy. Squamous metaplasia was seen in one case whereas 2 cases were of mesodermal mixed tumour with heterologous element as rhabdomyosarcoma. Clear cell carcinoma, Brenner tumour and unclassified group constituted 0.79%, 1.18% and 1.58% of all SET respectively.
表面上皮性肿瘤(SET)占所有卵巢肿瘤的65.7%。良性肿瘤182例(71.9%),低恶性潜能(LMP)肿瘤11例(4.4%),浸润性恶性肿瘤60例(23.7%)。病例数最多的是102例(40.3%),年龄在第三个十年。浆液性囊腺瘤的平均年龄为31.5岁,黏液性囊腺瘤为30.8岁。最常见的临床表现是腹部肿块,182例(71.9%)出现该症状,120例(47.4%)有腹痛症状。浆液性囊腺瘤是最常见的肿瘤,占所有卵巢肿瘤的32.21%,或所有SET的46.01%,或所有囊性SET的65.56%。17例(11.7%)浆液性肿瘤为双侧性。黏液性囊腺瘤占所有卵巢肿瘤的14.55%,或所有SET的30.8%。这些肿瘤体积较大(78.6%;直径≥15cm)且多房(83.9%)。黏液性囊腺癌是最常见的恶性上皮性肿瘤(36.6%)。子宫内膜样癌占所有SET的3.65%,或所有卵巢恶性肿瘤的8.4%。1例可见鳞状化生,2例为具有异源性成分(横纹肌肉瘤)的中胚叶混合瘤。透明细胞癌、勃勒纳瘤和未分类组分别占所有SET的0.79%、1.18%和1.58%。