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目的 :探讨青少年卵巢恶性肿瘤的发病特点及治疗方法。方法 :回顾分析我院 1984年 10月至1999年 12月间收治的 2 1例 2 5岁以下卵巢恶性肿瘤病人的发病情况及治疗效果。结果 :2 1例病人患恶性生殖细胞肿瘤的占 47.6 %。上皮性癌占 33.3 %。恶性性索间质瘤占 19.4%。 2 1例患者均手术治疗。早期患者保留了对侧卵巢及子宫。晚期患者行根治术。术后给予化疗或放疗。结论 :青少年女性 ,特别是幼少女恶性生殖细胞肿瘤占比例最高。其次是上皮性癌及性索间质细胞瘤。治疗方面早期患者应尽量保留生育功能。恶性生殖细胞瘤术后采用PVB、PEB方案合理化疗可以达到很好的疗效。
Objective: To investigate the characteristics and treatment of adolescent ovarian cancer. Methods: A retrospective analysis of our hospital from October 1984 to December 1999 admitted 21 cases of ovarian cancer patients under the age of 25 patients with disease incidence and treatment. Results: Twenty-one patients had malignant germ cell tumors accounting for 47.6%. Epithelial cancer accounted for 33.3%. Malignant stromal tumors accounted for 19.4%. All patients were surgically treated. Early patients retain the contralateral ovary and uterus. Radical surgery in patients with advanced. After chemotherapy or radiotherapy. Conclusion: Adolescent women, especially young girls, have the highest proportion of malignant germ cell tumors. Followed by epithelial cancer and sex cord stromal tumor. Early treatment of patients should try to retain the reproductive function. Malignant germ cell tumor using PVB, PEB program reasonable chemotherapy can achieve good effect.