卵巢原发性类癌7例临床病理分析

目的探讨卵巢类癌的临床及病理组织学特征。方法观察总结7例卵巢原发性类癌的临床及病理学特征,并复习相关文献。结果7例患者平均发病年龄39.86岁（29～54岁）,以盆腔肿物或卵巢囊实性肿物为主要临床表现。组织学类型为甲状腺肿型2例,岛状型3例,梁索-岛状混合型2例。结论卵巢类癌是罕见的卵巢单胚层畸胎瘤,具有低度恶性。诊断中需注意与粒层细胞瘤、支持细胞瘤等鉴别,并需除外转移性类癌。

Ovarian strumal carcinoid:a clinicopathologic study of 7 cases

Objective To investigate the clinical and pathological features of ovarian carcinoid. Methods 7 cases of ovarian carcinoid were studied with light microscopy,immunohistochemistry and analysis of clinical features.The related literatures were reviewed as well. Results The average age of the patients was 39.86(range from 29 to 54) years;the patients mainly presented as a pelvic mass or ovarian cystic/solid mass.The histological types of the 7 cases included 2 of strumal carcinoid,3 insular type and 2 mixed trabecular-insular type. Conclusion The ovarian carcinoid is a rare monodermal teratoma of the ovary, and has good prognosis.It should be differentiated from granulosa cell tumor,Sertoli cell tumor and metastatic carcinoid.