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卵巢上皮性癌约占所有卵巢癌的80%,三种主要类型(浆液性、粘液性、子宫内膜样)的组织学类似来源于苗勒氏管的输卵管、子宫颈管以及子宫内膜的上皮。从流行病学研究,卵巢癌与月经不规则,产次少及社会经济地位较高有关。以往曾报导年轻妇女卵巢肿瘤及妊娠合并肿瘤的处理,由于孕妇经常检查,可能在早期作出诊断,因而预后较好,保留生育功能的机会也增加。因年轻妇女来妇科就诊较多,故可能得到早期诊断。本文报导此年龄组卵巢肿瘤患者的临床表现、病理学所见、预后及保守治疗的原则。
Epithelial ovarian cancer accounts for about 80% of all ovarian cancers. Histology similar to the three main types (serous, mucinous, endometrioid) is similar to the tubal, cervical canal, and endometrial Epithelium. From epidemiological studies, ovarian cancer and irregular menstruation, fewer births and higher socio-economic status. In the past, young women reported ovarian cancer and pregnancy with tumor treatment, as pregnant women often check, may make an early diagnosis, so the prognosis is good, the opportunity to retain reproductive functions also increased. Because young women come to gynecological clinic more, it may be early diagnosis. This article reports the clinical manifestations of ovarian cancer patients in this age group, pathology, prognosis and conservative treatment principles.