首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (1): 110-113.

• 论著·临床研究 • 上一篇    下一篇

3582例卵巢肿瘤的组织学类型分析

汤丽荣, 段微, 范逢晓, 徐小红   

  1. 首都医科大学附属北京妇产医院
  • 收稿日期:2003-06-23 修回日期:1900-01-01 出版日期:2004-01-15 发布日期:2004-01-15

Histological Classification in 3582 Cases of Ovarian Tumors

Tang Lirong, Duan Wei, Fan Fengxiao, Xu Xiaohong   

  1. Beijing Obstetrics and Gynecology Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2003-06-23 Revised:1900-01-01 Online:2004-01-15 Published:2004-01-15

摘要: 为探讨卵巢肿瘤的组织学类型,对北京妇产医院1982年1月至1999年12月收治的卵巢肿瘤的病理资料,按WHO标准进行登记统计。结果:18年共收治3582例卵巢肿瘤患者,按良恶性分类,良性肿瘤3068例,占85.65%;恶性肿瘤及交界性肿瘤514例,占14.35%(其中恶性肿瘤419例;占11.70%;交界性肿瘤95例,占2.65%);按组织学类型分类,上皮性肿瘤1362例,占38.02%;生殖细胞肿瘤1908例,占53.27%;性索间质肿瘤280例,占7.81%;转移性肿瘤18例,占0.50%;非特异性软组织肿瘤14例,占0.40%。恶性卵巢肿瘤中,以上皮性肿瘤所占比例最高,占66.73%,其次为生殖细胞肿瘤占16.95%,性索间质肿瘤占13.03%。20岁以前的恶性卵巢肿瘤中,生殖细胞肿瘤占71.87%;恶性上皮性肿瘤的平均年龄(47.8±11.0)岁。结果提示:卵巢生殖细胞肿瘤较上皮肿瘤更常见,恶性肿瘤中以上皮性肿瘤最常见,20岁以前的卵巢肿瘤中恶性生殖细胞肿瘤占多数.

关键词: 卵巢肿瘤, 组织学分类

Abstract: The aim was to analyze the histological types of ovarian tumor in our hospital. The pathological data of ovarian tumor during Jun,1982 to Dec, 1999 were collected according to the WHO classification for ovarian tumors. Som e cases which were unsure in the previous pathological diagnosis were reconfirmed according to the WHO classification. 3 582 cases of ovarian tum ors were registered during 18 years in our hospit al. There were 3 068 (85.65%)cases of benign tumors, 419(11.70%)cases of m alignant tumors and 95(2.65%)cases of borderline tumors. Classified by histologi cal type, there were 1 362(38.02%) cases of epithelial tumors, 1 908(53. 27 %) cases of germ cell tumors, 280(7.81 %) cases of sex cord-stromal tumors, 18(0.50%) cases of secondary tumors and 14(0.40%) cases of non-specific soft tissue neoplasm. Among the 514 cases of malignant tumors, epithelial type accounted fo r 66.73%, sex cord-stromal tumors was 16.95%, and germ cell tumors, 13.03% . 71.87 % of malignant germ cell tumor occurred in women younger than 20. In averag e, malignant ovarian epithelial tumor occursat (47.8±11.0) years old. The inciden ce of ovarian germ cell tumors is higher than epithelial. But in malignant tumor s the incidence of common epithelial tumors is especially higher than other types of malignant tumors. The most frequent malignant tumor which occ urs in women younger than 20 is germ cell tumor.

Key words: ovarian tumor, histology classification

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