_tumor卵巢肿瘤课件.ppt

Ovarian tumor Ovarian tumor is one of the most common tumors of the female generative system. Little progress has been made in identifying precursory or in situ stages of these lesions. The 5-year survival rate for all stages is still 35-38%—little better than 35 years ago. Table 1 Histology of ovarian tumors (WHO, 1972) Epithelial ovarian tumors(1) Serous(2) Mucinous(3) Endometrioid(4) Clear cell(5) Brenner(6) Mixed epithelial(7) Undifferentiated Gonadal sex cord stromal tumor (1) Granulosa stromal cell tumor Granulosa cell tumor Thecoma-fibroma tumor (a) Theca cell tumor (b) Fibroma(2) Sertoli leydig cell tumor (androblastoma)(3) Gynandroblastoma Lipid (lipoid) cell tumor Ovarian germ cell tumors(1) Dysgerminoma(2) Endodermal sinus tumor (yolk-sac tumor) (3) Embryonal carcinoma(4) Polyembryoma(5) Choriocarcinoma(6) Teratoma Immature Mature(a) Solid (b) Cystic Monodermal and highly specialized:(a) Struma ovarii (b) Carcinoid (c) Others(7) Mixed germ cell tumors Gonadoblastoma Non-ovarian specific soft tissue tumor (sarcoma, fibrosarcoma, lymphosarcoma) Unclassified tumor Metastatic tumor Tumor like condition Follicle cysts, lutein cysts, and so on ? Epethelial tumors account for more than 50~70% of all primary ovarian neoplasia and more than 85%-90% of ovarian malignant tumors. Ovarian germ cell tumors account for 20%-40% of ovarian tumors. They include dysgerminoma, embryonal carcinoma, teratoma, endodermal sinus tumour, choriocarcinoma , and so on. Sex cord stromal tumors account for about 5% of all ovarian tumors. These tumors are potentially functional, that is, producing hormones, so we call them ovarian functional tumors. Metastatic tumors account for 5%-10% of ovarian tumors. The primary sites are commonly gastrointestinal tract, breast, genital organs. High risk factors 1. The factors of heredity and family 2. Environme