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本文对我院1956～1986年23例卵巢纤维瘤进行了分析。年龄最小18岁,最大63岁,40 60岁共17例,占74%。症状以腹痛、腹块为主。有6例已绝经,绝经最长年限为12年。术前有5例误诊为恶性卵巢肿瘤。23例均为单侧。肿瘤呈肾形质硬,瓷白色,光滑或结节状,活动。5例有腹水,最多1例为1500毫升,淡血性或清亮。肿瘤可以发生钙化、液化、玻璃样变或囊性变。可与子宫内膜癌、子宫内膜囊腺型增生过长、子宫肌瘤、对侧卵巢浆液性乳头状囊腺瘤并存。
This article analyzed 23 cases of ovarian fibroma in our hospital from 1956 to 1986. The youngest 18 years old, the largest 63 years old, a total of 17 cases of 40 60 years old, accounting for 74%. Symptoms are mainly abdominal pain and abdominal masses. There are 6 cases of menopause, the longest period of menopause is 12 years. Five patients were misdiagnosed as malignant ovarian tumors before surgery. All 23 cases were unilateral. The tumor was kidney-hard, porcelain white, smooth or nodular, active. 5 cases had ascites, up to 1 case was 1500 ml, pale bloody or clear. Tumors can develop calcification, liquefaction, hyalinization, or cystic degeneration. With endometrial cancer, endometrial cystic gland hyperplasia, uterine fibroids, contralateral ovarian serous papillary cystadenoma coexist.