妇产科卵巢肿瘤(英文).ppt

The resection of the pelvic tumor may include removal of the uterus, tubes, and ovaries, as well as portions of the lower intestinal tract Separation of the omentum from stomach and transverse colon Stage Relative 5-Years Survival Rate Ia 92.7% Ib 85.4% Ic 84.7% IIa 78.6% IIb 72.4% IIc 64.4% IIIa 50.8% IIIb 42.4% IIIc 31.5% IV 17.5% Derived from the primordial germ cell of the ovary. Incidence secondary to EOC, are the most common ovarian cancers in women younger than 20 years. Most germ cell tumors are benign, although some are cancerous and may be life threatening. The most common germ cell tumors are Teratoma Dysgerminoma Yolk sac tumor ( Endodermal sinus tumor ) Choriocarcinoma A tumor possessing components resembling normal derivatives of more than one germ layers The malignancy is determined by the tissue differentiation rather than texture Mature Teratoma- dermoid cyst General 95% of teratoma, Occurs at any age, mostly between 20-40y Appearance Usually, unilateral, moderate size, round or elliptic, smooth and thin wall Components Endoderm + Etcoderm + Mesoderm ; Occasionally monoderm: struma ovarii Prognosis Benign, but 2-4% malignant transformation, mostly seen in postmenopause Immature Teratoma General 1-3% of teratoma, average age of occurrence is 11-19y Appearance Usually, solid texture accompanied with cystic areas Components 2-3germ layers; Immature embryonic tissue, mainly primitive neuron tissue Prognosis Malignance depends on the ratio and differentiation of immature tissue and the quantity of nervous epithelium. Recurrent and metastatic rate is high Mature Teratoma Immature Teratoma Mild malignant , the most common malignant germ cell tumor, accounting for 30%-40% of all ovarian cancers of germ cell origin; 75% occur between 10-30y large round, ovoid, solid, often unilateral (right-ovary involvement), moderate size, eraser-like texture, smooth surface or lobular appearance Highly sensitive to radiation therapy with 90% of 5 year s