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卵巢无性细胞瘤是一种罕见的特殊卵巢肿瘤,我们从1963年9月至1988年间共遇到5例,现介绍如下。一、临床资料 5例中年龄最小12岁,最大32岁,平均19.4岁。均以下腹包块而就诊,4例伴有下腹痛。4例月经正常,1例未初潮。术前仅1例明确诊断,1例误诊为子宫肉瘤,3例误诊为卵巢畸胎瘤。左右侧后2例,双侧1例。最小手拳大,最大如孕6~+月子宫大。2例并发蒂扭转。3例包膜完整,无粘连。2例包膜破裂,按FIGO分期标准,Ⅰa2例,Ⅱa2例,Ⅲ期1例。2例呈园形,1例呈椭园形,双侧1例均呈肾形,1例不规则。均无腹水,病检均为单纯型。
Ovarian dysgerminoma is a rare case of special ovarian cancer, we from September 1963 to 1988, a total of 5 cases were encountered, are described below. First, the clinical data of 5 cases, the youngest 12 years old, maximum 32 years old, an average of 19.4 years old. The following abdominal mass and treatment, 4 patients with lower abdominal pain. 4 cases of normal menstruation, 1 case of menarche. Only one case of preoperative diagnosis, 1 case misdiagnosed as uterine sarcoma, 3 cases misdiagnosed as ovarian teratoma. Left and right after 2 cases, bilateral in 1 case. The smallest hand-fist, the largest such as pregnancy 6 ~ month uterine big. 2 cases of concurrent pedicle torsion. 3 cases of complete capsule without adhesions. 2 cases of rupture of the envelope, according to FIGO staging criteria, Ⅰ a2 cases, Ⅱ a2 cases, Ⅲ 1 case. 2 cases were park-shaped, 1 case was oval-shaped, bilateral kidney-shaped in 1 case, irregular in 1 case. No ascites, pathological examination were simple type.