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文献报告卵巢子宫内膜异位症恶变率低于1%;我院1980～1985年手术治疗内膜异位症中并发卵巢癌占1.1%(3/264)。卵巢内膜异位症发生癌变常有4种类型:子宫内膜样癌、透明细胞癌、上皮样癌和非癌样癌。临床常见为透明细胞癌和子宫内膜样癌。在患有卵巢子宫内膜异位症的育龄妇女中,尤在绝经后,再次出现卵巢囊肿增大,持续腹痛或可疑囊肿自然破裂时均应考虑子宫内膜异位症发生癌变的可能。
Reported in the literature ovarian endometriosis malignant transformation rate of less than 1%; our hospital from 1980 to 1985 surgical treatment of endometriosis complicated by ovarian cancer accounted for 1.1% (3/264). There are four types of carcinogenesis of ovarian endometriosis: endometrioid carcinoma, clear cell carcinoma, epithelioid carcinoma and non-cancerous carcinoma. Common clinical manifestations of clear cell carcinoma and endometrioid carcinoma. In women of childbearing age with ovarian endometriosis, especially after menopause, ovarian cysts increase again, continuous abdominal pain or suspicious cystic rupture should be considered when the possible occurrence of endometriosis cancer.