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本文对我院1984年6月~1994年6月共收治无性细胞瘤20例进行临床分析。年龄最小9岁,最大48岁,30岁以下14例,占70%,占同期卵巢原发恶性肿瘤的5.4%。Ⅰa期8例,Ⅰb期2例,Ⅰc期2例,Ⅱ期2例,Ⅲ期3例,Ⅳ期3例。全部病例均以手术为主,术后辅以放疗或化疗。除2例失访外,3例手术后短期内死亡,15例存活,5年存活率25%。从本组病例看,Ⅰa期的要求保留生育能力的年轻患者,术时检查如无转移,同时行对侧卵巢楔形切除快速切片,而且有良好的随访条件者,可行单侧附件切除,术后配以化疗,待其生育后再行根治性手术。
In this paper, our hospital from June 1984 to June 1994 were treated 20 cases of dysgerminoma for clinical analysis. The youngest 9 years old, the largest 48 years old, 30 years of age in 14 cases, accounting for 70%, accounting for the same period 5.4% of primary ovarian cancer. 8 cases of stage Ia, 2 cases of stage Ib, 2 cases of stage Ic, 2 cases of stage II, 3 cases of stage III and 3 cases of stage IV. All cases are based on surgery, postoperative radiotherapy or chemotherapy. Except for 2 cases lost to follow-up, 3 died shortly after operation, 15 survived and 5-year survival rate was 25%. From this group of patients to see, Ⅰ a period of young patients required to retain fertility, surgery, such as no metastasis, while the contralateral ovary wedge resection quick chip, and have good follow-up conditions, feasible unilateral excision, postoperative Coupled with chemotherapy, to be cured after radical surgery.