30岁以下妇科恶性肿瘤临床分析.docVIP

30岁以下妇科恶性肿瘤的临床分析 　　【摘要】 目的 探讨30岁以下妇科恶性肿瘤的病例特征及合理的治疗措施。方法 回顾性分析2000年1月至2009年12月间在我院住院诊治的30岁以下的妇科恶性肿瘤患者的临床资料,以及随访部分患者的月经生育情况等,进行统计分析总结。结果 我院10年期间共收治妇科恶性肿瘤患者721例,30岁以下的患者56例,占7.77%,发生率排位分别为卵巢癌、恶性滋养细胞肿瘤、宫颈癌和子宫体恶性肿瘤。子宫体恶性肿瘤前5年收治数为0,后5年的收治数为3;宫颈癌收治比例从前5年的7.7%上升到后5年的23.3%,差异有统计学意义(P 　　【关键词】 年轻女性;恶性肿瘤;诊治 　　An Analysis of Characteristics of Gynecological M alignancies in Young Women Aged Less than 30 Years 　　ZHANG Yu,CHENG Juan,XIE Qiu?ru,et al.Gynecological Department,the Third Affiliated Hospital,Sun Yat?sen University,Guangzhou 510630,China 　　【Abstract】 Objective To analysis the characteristics and optimal treatments of Gynecological m alignancies in young women aged less than 30 years.Methods Retrospective analysis was performed for the clinical data of gynecological m alignancies in young women aged less than 30 years who were treated in our hospital from January 2000 to December 2009,and a follow?up was made for the menstruation and fertility of the patients.Results 56 cases were identified from 721 cases of gynecological m alignancies,including ovarian m alignancies,choriocarcinoma m alignancies,cervical cancer and uterus m alignancies which were ranked in sequence.The most common ovarian m alignancy was germ cell tumor.The case number of uterus m alignancies was zero during the prior 5 years,and 3 during the latter 5 years.The case number of cervical cancer was 2 during the prior 5 years,and 7 during the latter 5 years.The rate of stageⅠdiagnosis were 76.7%,100%,35.7%and 66.7%for ovarian m alignancies,uterus m alignancies,choriocarcinoma m alignancies and cervical cancer respectively.Conservative treatments for fertility were performed for 14 cases of ovarian m alignancies,12 cases of choriocarcinoma m alignancies and 1 case of cervical cancer in situ.From the successful follow?up of 10 cases of ovarian m alignancies,all got near normal menstruation,total pregnancy number was 4 and 3 babies were got for 3 patients each.From the successful follow?up of 9 cases of