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7 cases of ovarian cancer diagnosis and treatment of young girls

During chemotherapy Plk ~ N <0.5x10 few, 77.3% of patients with platelets <20 × 10 a few, like the gradual recovery of blood withdrawal, approximately 15 - 20 days near normal. With conventional or high-dose chemotherapy compared with low-dose chemotherapy, although patients can significantly reduce the nausea, vomiting and other side effects, but there are still 70% of patients above 38 ℃ heating, 9% died of a brain hemorrhage, 10% had drug-induced liver damage, found no kidney damage or heart damage and other serious side effects. In short, small doses of HA solution for elderly or low-cell, ~ VIL, and MDS-RAEBT induce remission in patients with a positive effect, for the consolidation and maintenance therapy of long-term survival needs further observation. (1999-08-3l Received) (200o a 07-13 Revised) s Summary ☆ ah boxing station =;''J eleven st-(7 例 girls wing epithelial ovarian cancer diagnosis and treatment of re-Lan Fan Yulan 7.5 / swollen slip Hospital of Fuyang (Fuyang City, Anhui Province, 236018) epithelial ovarian cancer can occur at any time in the life of women. The median age was 59 years old. and girls to reproductive cells of ovarian cancer are mostly epithelial cancer is not common. hospital summary 1983--1993 years 15 - 20 years all patients with ovarian cancer data and the literature summary analysis of its clinical features diagnosis and treatment of clinical data as a hospital pathologist Yang Hongxin proofreading ①) 1.1 General Information from 1983--1993 girls were treated in 10 years, 78 cases of ovarian cancer, epithelial carcinoma, 7 cases, 8%; age of 15 - 20 years old, with a median age of 17.8 years. 7 cases were not marriage and childbearing, have menstrual cramps. 1.2 in the histologic classification, 7 patients, 4 cases of mucinous cystadenoma, serous white relentless Shí canthal Volume 27, 2000 Chinese Journal of Clinical Oncology children in 1 case, adenocarcinoma in 1 case, endometrioid glands carcinoma in 1 case. Pathological sections were re-Review of Pathology of our hospital diagnosis. 1.3 According to F1GO stage clinical stage, I stage in 4 cases, I phase I patients, I1 in 2 cases. 1.4 7 cases of clinical manifestations showed 4 cases of pelvic mass, one case of abdominal distention with fever, one case of acute abdominal pain, 1 case of abdominal circumference were increased. The performance of patients with multiple thin. Tumor diameter 21cm ~ 30cm2 cases, llcm - 20cm4 cases. <10ran in 1 case, two annexes have tumors in 2 cases. 7 patients had no menstrual abnormalities. Clinical information, see the attached table. Schedule 7 cases of ovarian cancer girls clinical data and results of treatment of 2.1 2 7 patients were treated for the purposes of surgery, postoperative chemotherapy, Park JJ mouth. 【4 cases of unilateral removal of the annex, I on-line double attachment removed. Ⅱ, 2 cases of double-line full-rich juice Annex + + À j omental resection, postoperative chemotherapy were performed. Programme: VCRling, d. ,5-FU750rag, MMC6mg, ADM30 - 40mgiv, d2 ~ 4, interval of 45 days for treatment. I of course can be systemic chemotherapy 4, Ⅱ l0 of chemotherapy treatment can be. 2.2 7 cases were followed up for up to 10 years, minimum of 5 years 4 cases of patients preserve fertility, 3 full-term delivery, is the maximum age of 6, minimum l8 months, the offspring no abnormalities. 3 Summary of girls under the age of 20 malignant ovarian germ cell origin of the tumor to the most common, accounting for 62.9% of ovarian cancer in our hospital were treated in girls 10 years of ovarian cancer in 78 cases, seven cases of epithelial tumors, accounting for 8 %, 7 cases of mucinous cystadenocarcinoma in 4 cases, 1 case of endometrioid carcinoma, serous adenocarcinoma and adenocarcinoma in 1 case, histological type relatively lower than in adults, this may be a girl ovarian cancer characteristics. Girls ovarian cancer symptoms huge pelvic mass with intraoperative see as the main feature in 7 patients, no clinical stage and metastasis of ascites is still I, Ⅱ women of childbearing age of which had epithelial ovarian cancer, women of childbearing age difference onset of ovarian cancer and more hidden, early difficult to find, once discovered already, the late, 70% of patients reached the stage Ⅲ, which may be maiden another characteristic of epithelial ovarian cancer. Girls epithelial ovarian cancer treatment: surgery is still the first place, combined with chemotherapy after surgery for a majority of unmarried girls education, but this has been the concern of everybody. Surgery to retain sexual function should be very cautious in 7 patients in this group, I have reservations of 4 cases of contralateral ovary, 3 cases were full-term delivery. We believe that: I on the tumor surface is smooth, activities, the appearance of the normal contralateral ovary should not give up as much as possible to retain reproductive function. Subject to close follow-up on the principle of the uplink of the whole house Ⅱ + Double + Annex + omentum appendectomy on I, Ⅱ of the patients were supplemented by chemotherapy. Received f199911-0 Cool

(1999-12-03 Revised) r Yang Hongxin proofreading)

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