论文部分内容阅读
本文报道了１９７５年～１９９２年在我院治疗的卵巢无性细胞瘤４４例。其中Ⅰ期２０列，Ⅱ期８例，Ⅲ期５例，Ⅳ期１１例。２８例在我院完成首次治疗，除５例在治疗后３年内死亡外，其余均生存５至１７年，５年生存率为８２％。１６例外院术后复发转入我院治疗，按其初诊时的分期：Ⅰ期４例，Ⅱ期２例，Ⅲ期３例，Ⅳ期７例。５年生存率仅４４％。说明有效的首次冶疗相当重要。采用选择性病例作瘤侧附件切除加术后联合化疗，达到不增加死亡率的同时又保留患者的生育及卵巢功能，已经有了比较乐观的前影。
This article reports 44 cases of ovarian dysgerminoma treated in our hospital from 1975 to 1992. Among them, 20 cases were stage Ⅰ, 8 cases were stage Ⅱ, 5 cases were stage Ⅲ, 11 cases were stage Ⅳ. 28 cases completed the first treatment in our hospital, except 5 cases died within 3 years after treatment, the remaining 5 to 17 years, 5-year survival rate of 82%. 16 cases of recurrent outpatient surgery transferred to our hospital for treatment, according to their initial stage of the staging: Ⅰ in 4 cases, Ⅱ in 2 cases, Ⅲ in 3 cases, Ⅳ in 7 cases. 5-year survival rate of only 44%. It is important to note that effective first treatment is available. The use of selective cases of tumor resection combined with postoperative adjuvant chemotherapy to achieve increased mortality without leaving the patient’s reproductive and ovarian function, there has been more optimistic shadow.