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目的 对 52例卵巢无性细胞瘤临床病理进行探讨。方法 复习全部病史及病理切片资料。结果 随访 50例 ,随访率为 96 % ,11例死亡 ,其中肿瘤合并妊娠 4例 ,Ⅲ、Ⅳ期 6例 ,包括 2例混有胚胎性癌成分 ,静脉内有瘤栓 1例。育龄妇女 7例 ,治疗后生育孩子。结论 正确合理治疗是提高生存率及生育的根本保证。单纯性无性细胞瘤预后好 ,肿瘤合并妊娠预后最差。
Objective To investigate the clinical and pathological features of 52 cases of ovarian dysgerminoma. Methods to review all the history and pathological information. Results The follow-up of 50 cases, follow-up rate was 96%, 11 patients died, including 4 cases of tumor with pregnancy, Ⅲ, Ⅳ 6 cases, including 2 cases mixed with embryonal carcinoma, tumor thrombus in 1 case. 7 women of childbearing age, childbearing after treatment. Conclusion The correct and reasonable treatment is to improve the survival rate and the fundamental guarantee of childbearing. Simple dysgerminoma prognosis is good, the worst prognosis of pregnancy with tumor.