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目的分析卵巢子宫内膜异位症病灶恶变的临床表现、特征、诊治方法及预后情况。方法选取郑州人民医院2004年10月—2013年10月9年内收治的卵巢内膜异位症发生恶性病变的患者15例,回顾性分析所有患者的临床资料及病理变化并进行记录,对病理切片再次请专家检查。结果 15例卵巢子宫内膜异位症恶变为卵巢子宫内膜样癌发生率为33.33%(5/15例),透明细胞癌发生率为46.67%(7/15例),浆液性腺癌发生率为13.33%(2/15例)粘液性腺癌发生率为6.67%(1/15例)。结论卵巢子宫内膜异位症恶变主要以盆腔包块、下腹胀痛、月经紊乱为主要临床表现,临床上要充分认识其潜在的恶变及相关因素,结合临床、病理特征及辅助检查,提高早期诊断率。
Objective To analyze the clinical manifestations, characteristics, diagnosis and treatment of ovarian endometriosis lesions and prognosis. Methods Fifteen patients with malignant lesions of ovarian endometriosis who were admitted to Zhengzhou People’s Hospital from October 2004 to October 2013 were retrospectively analyzed and recorded. The pathological changes of all the patients were retrospectively analyzed. Ask experts to check again. Results 15 cases of ovarian endometriosis malignant ovarian endometrioid carcinoma was 33.33% (5/15 cases), clear cell carcinoma was 46.67% (7/15 cases), the incidence of serous adenocarcinoma The incidence of mucinous adenocarcinoma was 13.33% (2/15 cases), accounting for 6.67% (1/15 cases). Conclusion The main clinical manifestations of ovarian endometriosis malignant transformation with pelvic mass, abdominal pain and menstrual disorders as the main clinical manifestations should be fully aware of its potential malignant transformation and related factors, combined with clinical and pathological features and auxiliary examination to improve early Diagnostic rate.