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本文对临沂地区近19年来(1966～1984)经手术治疗的1715例卵巢肿瘤采用WHO病理组织学分类进行分析。结果是:原发性肿瘤占99.13％,继发性肿瘤占0.87％。在原发性肿瘤中,良性为86％,交界性2.24％,恶性为11.76％。生殖细胞性肿瘤占48.16,上皮性肿瘤占44.48％,性索间质肿瘤远较上皮性及生殖细胞性肿瘤少见。在生殖细胞性肿瘤中,以成熟性畸胎瘤多见(81.60％)。在上皮性肿瘤中,以粘液性囊腺瘤多见,其次则为浆液性囊腺瘤。上皮性恶性肿瘤占所有卵巢恶性瘤的52.17％。性索间质肿瘤以恶性度较低的颗粒细胞癌为多。此外,在1715例卵巢肿瘤中发生在20岁以下儿童及青少年期的卵巢肿瘤共192例,占本组肿瘤的11.19％。对某些肿瘤重新复查了组织切片,尤其引人注意的是发生在20岁以下患者的卵巢恶性瘤占本组恶性肿瘤的16.47％。
In this paper, 1715 cases of ovarian tumors treated surgically in Linyi area in the past 19 years (1966-1984) were analyzed by WHO histopathological classification. The results were: primary tumors accounted for 99.13%, and secondary tumors accounted for 0.87%. In primary tumors, benign was 86%, borderline was 2.24%, and malignancy was 11.76%. Germ cell tumors accounted for 48.16, and epithelial tumors accounted for 44.48%. Stromal stromal tumors were far less common than epithelial and germ cell tumors. In germ cell tumors, mature teratomas are more common (81.60%). In epithelial tumors, mucinous cystadenoma is more common, followed by serous cystadenoma. Epithelial malignancies accounted for 52.17% of all ovarian malignancies. Stromal stromal tumors are mostly granulosa cell carcinomas with a lower degree of malignancy. In addition, there were 192 cases of ovarian tumors in children under 20 years of age and adolescents in 1715 cases of ovarian tumors, accounting for 11.19% of tumors in this group. The re-examination of tissue sections was performed on certain tumors, and it was particularly noticeable that ovarian malignant tumors in patients under the age of 20 accounted for 16.47% of malignant tumors in this group.