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目的:探讨儿童青少年卵巢肿瘤的临床特点,提高早期诊断率及改善预后。方法:经手术和病理证实的卵巢肿瘤67例,<12岁为儿童组,≥12～18岁为青少年组,对其临床特点、病理分类、辅助检查、诊断、治疗及随访情况进行分析。结果:青少年组发病高于儿童组;儿童青少年卵巢肿瘤中生殖细胞肿瘤占首位,以畸胎瘤居多。青少年组中上皮性肿瘤呈明显增多趋势,卵巢肿瘤蒂扭转易误诊。结论:对儿童、青少年应开展普查性体检,必要时行盆腔B超、CT检查;儿童青少年卵巢肿瘤的治疗宜采取以手术为主的综合治疗方法,尽量保留生育功能。
Objective: To investigate the clinical features of ovarian tumors in children and adolescents, improve the early diagnosis rate and improve the prognosis. Methods: 67 cases of ovarian tumors were confirmed by operation and pathology. Children younger than 12 years and adolescents aged 12 to 18 years old were enrolled in this study. Their clinical features, pathological classification, auxiliary examination, diagnosis, treatment and follow-up were analyzed. Results: The incidence of adolescent group was higher than that of children group. The germ cell tumors in ovary tumors of children and adolescents accounted for the first place, mostly teratomas. Epithelial tumors in adolescent group showed a significant increase in the trend of ovarian cancer torsion misdiagnosis. Conclusion: Children and adolescents should carry out general physical examinations and, if necessary, perform pelvic ultrasound and CT examination. Children and adolescent ovarian tumors should adopt a comprehensive surgical treatment, and try their best to keep their reproductive functions.