Fabbro M A, Costa L, Spata E, Cimaglia M L, Donadio P
Divisione di Chirurgia Pediatrica, Ospedale di Vicenza, Italia.
Pediatr Med Chir. 1996 Mar-Apr;18(2):151-4.
Ovarian tumors in children are uncommon. We reviewed all cases of ovarian tumors treated at the Department of Pediatric Surgery of Vicenza Regional Hospital from 1979 to 1994. They include 6 cases of cystic teratoma and 1 gonadoblastoma; the malignant lesions included 1 immature teratoma, 1 dysgerminoma, 1 yolk-sac tumors and 1 patient with ovarian infiltration from malignant leukemia. Only the patient with leukemia died of progression of the disease. These data show that most ovarian masses are benign. Germ-cell tumors are the most common malignancy and epithelial cell tumors are less likely. Epithelial cyst and teratomas are the most common benign lesions. Although ultrasound was 100% accurate in the diagnosis of ovarian pathology, the ultrasonogram could not distinguish between benign and malignant lesions.
儿童卵巢肿瘤并不常见。我们回顾了1979年至1994年在维琴察地区医院小儿外科接受治疗的所有卵巢肿瘤病例。其中包括6例囊性畸胎瘤和1例性腺母细胞瘤；恶性病变包括1例未成熟畸胎瘤、1例无性细胞瘤、1例卵黄囊瘤以及1例伴有恶性白血病卵巢浸润的患者。只有白血病患者因疾病进展而死亡。这些数据表明，大多数卵巢肿块是良性的。生殖细胞肿瘤是最常见的恶性肿瘤，上皮细胞肿瘤则较少见。上皮囊肿和畸胎瘤是最常见的良性病变。尽管超声对卵巢病变的诊断准确率为100%，但超声检查无法区分良性和恶性病变。
