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- Mature Cystic Teratoma of the Ovary: A Clinicopathologic Study of 283 Cases
- Ruptured Cystic Teratoma of the Testis in a Neonate
- 卵巢之成熟囊狀畸胎瘤併鱗狀上皮細胞癌
- Adenocarcinoma Arising from Mature Cystic Teratoma of the Ovary
- Operative Laparoscopy in Benign Cystic Teratoma of Ovary
- 畸胎瘤的惡性轉變
- Concomitant Mediastinal and Ovarian Mature Cystic Teratomas: A Case Report
- Mature Cystic Teratoma of the Floor of the Mouth
頁籤選單縮合
題名 | Mature Cystic Teratoma of the Ovary: A Clinicopathologic Study of 283 Cases=卵巢成熟型囊狀畸胎瘤: 283例之臨床與病理研究 |
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作者 | 吳瑞聰; 童寶玲; 張道遠; 陳俊凱; 陳瑞堅; 林明杰; 黃思誠; | 書刊名 | 中華醫學雜誌 |
卷期 | 58:4 1996.10[民85.10] |
頁次 | 頁269-274 |
分類號 | 417.25 |
關鍵詞 | 囊狀畸胎瘤; 卵巢生殖細胞腫瘤; 原發性卵巢腫瘤; Cystic teratoma; Ovarian germ cell tumor; Primary ovarian neoplasm; |
語文 | 英文(English) |
中文摘要 | 背景 雖然在英文文獻有很多關於卵巢成熟型囊狀畸胎瘤的報告,然 而在臺灣並無一詳盡且大數目的研究,因此我們收集從1988至1993年,共283 例卵巢成熟型囊狀畸胎瘤,對此做一臨床及病理上的研究,探討此一腫瘤在臺 灣的一些特徵。 方法 在1988至1993年,國立臺灣大學醫學院附設醫院婦產部,共收集283 例卵巢成熟型囊狀畸胎瘤。我們整理這283位病患的病歷紀錄、病理報告並分 析其臨床癥狀,提出此一腫瘤在臺灣的:發生率、年齡分佈、單邊及雙邊性、 癥狀、超音波診斷及合併症,同時做一文獻回顧及比較。 結果 卵巢成熟型囊狀崎胎瘤的發生率佔原發性卵巢腫瘤的32.6%。年齡分佈, 最年輕的為12歲,年紀最大的為76歲,80.3%的病人年紀介於15-45歲之間。 癥狀方面,以疼痛癥狀者為最多,佔48.1%,無癥狀者也佔了高達16.6%。兩側 卵巢發生雙側性成熟型囊狀畸胎瘤的機率為8.2%。合併症方面,以扭轉為最多, 佔9.2%;懷孕者佔10例,為3.5%;惡性轉變者佔2例,發生率為0.7%,皆是 鱗狀上皮細胞癌。 結論 卵巢成熟型囊狀崎胎瘤是最常見的生殖細胞腫瘤,佔所有原發性卵巢腫 瘤的33%。多數的病例發生在生殖年齡內。卵巢成熟型囊狀崎胎瘤會發生惡性 轉變,大多數的病例發生在停經後且預後極差,其發生率小於1%。 |
英文摘要 | Background. Although in the English literature, much has been published about ovarian teratoma, no large series has been reported in Taiwan. Therefore a retrospective study of 283 consecutive cases of mature cystic teratomas of the ovary, operated at National Taiwan University Hospital between 1988 and 1993, was undertaken. Methods. This series was based on a retrospective chart study at the Department of Obstetrics and Gynecology of the National Taiwan University Hospital from 1988 to 1993. All cases included in this study were proven by pathology review. The clinical data, pathology and complications are summarized. Results. The incidence of mature cystic teratoma was 32.6% of primary ovarian neoplasm. As for the age distribution, the youngest patient was 12 years old and the oldest, 76. The largest number of cases was found in patients between the ages of 20 and 30 years; the mean age was 35.4 years. Pain, the most common complaint, was noted in 48.1% of the cases in whom it varied from a dull ache to the sharp, stabbing pain of torsion. Of greater interest was an unexpectedly high incidence (16.6%) of asymptomatic cysts found on routine physical examination. The right ovary was involved in 51 2%, the left ovary in 40.6% and bilateral ovaries were involved in 8.2%. The incidence of torsion was 9.2%, and was the highest in all complications. Ten concurrent pregnancies were noted, an incidence of 3.5%. The incidence of malignant transformation was 0.7%, with a pathology of squamous cell carcinoma. Conclusions. Mature cystic teratoma is the most common germ cell tumor and accounts for about 33% of all ovarian neoplasm They occur primarily during the reproductive years, but may occur in the postmenopausal period or in childhood. A cystic teratoma can undergo malignant transformation; it occurs most frequently in postmenopausal women, and the prognosis is poor. However, it is a rare complication, with an incidence less than 1%. |
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