文档介绍：单纯性卵巢未成熟型畸胎瘤肝脏周围复发的临床特点和
【摘要】目的总结单纯性卵巢未成熟型畸胎瘤肝脏周围复发的临床特点,探讨其正确的诊断和治疗方案。方法采用回顾性分析方法,对18例肝脏周围复发的单纯性卵巢未成熟型畸胎瘤患者的临床分期、手术、化学治疗(化疗)以及其原发、复发肿瘤的病理,结合随诊结果进行综合分析。;初次手术的患者中,%(7/18)的患者行单侧附件切除术,%(11/18)为临床Ⅲ期,%(8/18)肿瘤的病理分级为G1级;%(18/64),%(3/18),%(15/48);辅助诊断准确率较低;肝动脉插管化疗对控制肿瘤生长无效。单纯性卵巢未成熟型畸胎瘤肝脏周围复发患者随诊时间为3~205 个月(),%(17/18),转移瘤直径小于15 cm者手术后并发症少,%(14/18), %(0/18);%(10/18), %(4/18); %(7/18), %(7/18)。患者最长生存时间已超过17年。结论单纯性卵巢未成熟型畸胎瘤肝脏复发部位为肝脏周围表面,初次手术后正规化疗是预防单纯性卵巢未成熟型畸胎瘤肝脏周围复发的重要措施,但不能抑制其生长,肝动脉插管化疗的方法是错误的,适时手术可以减少并发症,改善患者预后。
The Characteristics Diagnosis and Treatment of Hepatic Metastasis of Simple Immature Ovarian Teratoma
【Abstract】 Objective To analyze the characteristics of hepatic metastasis of pure immature ovarian teratoma and explore proper diagnosis and treatment. Methods A total of 18 cases etastasis of pure immature ovarian teratoma otherapy and histopathology of primary and secondary tumor as folloetastatic tumor located on the surface of liver, %(11/18) of them etastatic rate otherapy group but increased obviously to %(15/48) in irregular chemotherapy group. Auxiliary diagnostic methods could not indicate correct results. The surgical resection rate of hepatic metastasis of pure immature ovarian t