Ovarian carcinom 卵巢肿瘤PPT.ppt

Borderline tumor交界性肿瘤 Surgical therapy 手术治疗 Ovarian germ cell tumors 卵巢生殖细胞肿瘤 Pathology types病理分类 Immature teratoma Malignancy tumor 恶性肿瘤 The peak incidence adolescent 好发于青年人  Ovarian carcinom卵 巢 肿 瘤 Department of Obstetrics and Gynecology 妇产科 Zhang Wei 张 蔚 卵巢 女性内生殖器 Difficult to be detected in earlier period 不易早期发现 The 5－year survival of Ovarian carcinoma is low (25%-30%) 卵巢恶性肿瘤5年存活率较低 Purpose and Request Clinical manifestations 临床表现 2 Diagnosis and treatment 诊断及治疗 3 Histological types 组织学分类 1 Histological types组织学分类 Malignancy 恶性 Benign 良性 Borderline 交界性 Ovary malignancy tumor 卵巢恶性肿瘤 Frequently asymptomatic in earlier period, Once symptoms occurrence Most include: abdominal distension, abdominal mass and ascites 早期常无症状，一旦出现常表现为：腹胀﹑腹部肿块和腹水 [?saiti:z] n.腹水 Complications  并发症 Torsion of pedicle 蒂扭转 Rupture 破裂 Infection 感染 Canceration 恶变 Diagnosis 诊断 Ultrasound 超声检查 Tumor marker 肿瘤记标物 Abdominoscope 腹腔镜检查 Radiological diagnosis 放射学 Cytological examination 细胞学 Tumor marker 肿瘤记标物 AFP endodermal sinus tumor 卵巢内胚窦瘤 HCG choriocarcinoma 绒毛膜癌 CA125 Ovarian epithelial cancer 卵巢上皮癌 性激素 Granular cell carcinoma 颗粒细胞癌 Differentiate良性肿瘤和恶性肿瘤鉴别 Route of metastasis转移途径 Direct metastasis 直接蔓延 Abdominal metastasis 腹腔转移 Lymphatic metastasis 淋巴转移 Hematogenous metastasis 血行转移 [m?t?st?sis] n.转移 FIGO staging of ovarian neoplasms Stage Definition I growth limited to the ovaries 肿瘤局限于卵巢 I a one ovary involved 局限单侧卵巢 I b both ovary involved 局限双侧