皮样囊肿切除术后发生的卵巢生殖细胞肿瘤：一项长期随访研究。
Germ cell tumors of the ovary arising after dermoid cyst resection: a long-term follow-up study.
作者信息
Anteby E Y, Ron M, Revel A, Shimonovitz S, Ariel I, Hurwitz A
机构信息
Department of Obstetrics and Gynecology, Hadassa University Hospital, Mt. Scopus, Jerusalem, Israel.
出版信息
Obstet Gynecol. 1994 Apr;83(4):605-8. doi: 10.1097/00006250-199404000-00021.
OBJECTIVE
To study the long-term ovarian neoplastic consequences of resection of a dermoid cyst.
METHODS
The study population comprised 99 patients who were operated on for an ovarian dermoid cyst. Follow-up information was obtained for 91 women for a mean period of 5.06 +/- 2.46 years.
RESULTS
Of the 99 women, 18 had bilateral dermoid cysts. Multiple dermoid cysts in a single ovary were found in nine of the women with bilateral cysts and in one of the remaining patients. Two patients developed malignant germ cell tumors, and three developed a recurrent dermoid cyst in an ovary from which a dermoid cyst had previously been extracted. Bilateral or multiple ovarian dermoid cysts were present at the initial operation in four (80%) of these patients.
CONCLUSIONS
Women with bilateral or multiple dermoid cysts may include a subgroup of patients with a greater tendency to develop future ovarian germ cell neoplasms.
目的
研究皮样囊肿切除术后卵巢肿瘤的远期后果。
方法
研究对象包括99例行卵巢皮样囊肿手术的患者。91名女性的随访信息平均获取时间为5.06±2.46年。
结果
99名女性中，18例有双侧皮样囊肿。在双侧囊肿患者中有9例以及其余患者中有1例在单个卵巢中发现多个皮样囊肿。2例患者发生恶性生殖细胞肿瘤，3例在先前已切除皮样囊肿的卵巢中出现复发性皮样囊肿。这些患者中有4例（80%）在初次手术时存在双侧或多个卵巢皮样囊肿。
结论
患有双侧或多个皮样囊肿的女性可能包括一个未来发生卵巢生殖细胞肿瘤倾向更大的患者亚组。
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