[Diagnostic and therapeutic procedures in ovarian neoplasms in children and young girls].

Problemy medycyny wieku rozwojowego Pub Date : 1983-01-01
A Komorowska
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Abstract

During the period of 1950-1980, 108 case of ovarian tumors in infants and girls were treated in the Institute of Gynecology and Obstetrics, Medical Academy in Lódź. Among them there in 64 girls the neoplasmatic tumors were observed. The most frequent were germinal tumors (57,8%), the second place in frequency-epithelial tumors (35,9%). Of the 64 patients under study there were (6,3%) cases of gonadal tumors. The symptoms of the disease were often secrete. 11 of young females with malignant tumors that died within a year and 6 of them were diagnosed as carcinoma embryonale . Proper diagnosis of ovarian tumor should be based on the macroscopic estimation what is possible to perform during the laparoscopy or laparotomy. In neoplasmatic tumors the extent of the surgical intervention should be individualized in dependance on the clinical course, the character of changes and the results of the emergency histopathological examination. Neoplasmatic ovary tumors positive Y-body and cariotype XY in Swyer Syndrome are occurred. The surgery prophylactic treatment in mentioned above cases should be performed.

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[儿童和年轻女孩卵巢肿瘤的诊断和治疗方法]。
在1950-1980年期间,在Lódź医学院妇产科研究所治疗了108例婴儿和女孩卵巢肿瘤。其中64例女生发生肿瘤。最常见的是生发性肿瘤(57.8%),其次是上皮性肿瘤(35.9%)。在研究的64例患者中,有(6.3%)例性腺肿瘤。这种病的症状常常是由分泌物引起的。患有恶性肿瘤的年轻女性在一年内死亡11例,其中6例诊断为胚胎性癌。卵巢肿瘤的正确诊断应基于腹腔镜或开腹手术时的宏观判断。在肿瘤性肿瘤中,手术干预的范围应根据临床病程、变化特征和紧急组织病理学检查的结果进行个体化。卵巢肿瘤呈阳性y体和XY型的发生在Swyer综合征中。上述病例均应行手术预防治疗。
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