摘要
目的 探讨卵巢未成熟畸胎瘤 (OIT)合并腹膜胶质瘤病的临床病理特征及预后。方法 回顾性分析 1 95 7年 2月～ 2 0 0 0年 6月我院共收治 4例卵巢未成熟畸胎瘤合并腹膜胶质瘤病患者的临床及病理特征。结果 1 2例OIT患者平均 2 2 3岁。 4例合并腹膜胶质瘤病 ,平均 2 1 7岁 ,临床分期均为Ⅲ期 ,OIT平均直径大于 2 0cm ,患者均行经过手术和BEP ,BVP或VAC方案化疗。其中 2例行二次开腹手术 ,病理示胶质瘤灶持续存在。 2例患者有淋巴结神经胶质瘤转移灶。术后随访时间 1～ 1 0年 ,目前均健在。结论 卵巢未成熟畸胎瘤伴有腹膜胶质瘤病的预后好。治疗主要依卵巢未成熟畸胎瘤的分期及分级 。
Objective To study the clinical pathologic characteristics and prognosis of ovarian immature teratomas(OIT)with gliomatosis peritonei(GP).Methods The clinical features of OIT with GP were analyzed retrospectively in four cases treated from Feb.1957 to June 2000.Results Four out of 12 OIT were pathologically diagnosed with GP,and the average age was 21 7 yrs.All of them were ovarian tumor stage Ⅲ,and the average size of OIT was greater than 20 cm.They were treated by surgery and postoperative chemotherapy.Persisted lesions of gliomatosis peritonei were found in 2 patients,who underwent the second operation.Two out of the 4 patients were diagnosed with nodal glimatosis .The follow-up period varied from 1 to 10 years and all were alive.Conclusions The prognosis for OIT with gliomatosis peritonei is good.The treatments are surgery and/or chemotherapy,depending on the staging and pathological differentiation of OIT.
出处
《中国妇产科临床杂志》
2004年第4期276-278,291,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
