Clinical Analysis Of234Ovarian Tumors In Children And Adolescence

Objective：The purpose of this study is to improve the earlydiagnosis rate and the prognosis, reduce the misdiagnosis rate byanalyzing the clinical characteristics, diagnosis and treatment of ovariantumor in children and adolescence.Materials and Methods：I collect234patients of ovarian tumor inchildren (zero to nine years old) and adolescence (ten to nineteen yearsold) who were admitted from Jan2001to Oct2012in the First Hospitalof Jilin University. I analyze patients’ age of onset, age of menarche,clinical symptoms, accessory examination, modus operandi, the situationin operation, intraoperative pathology, postoperative pathology andaftertreatment. With descriptive, retrospective comparative methods ofanalysis, I used chart and SPSS17.02test to statistically analyze.Results:1、 The majority of patients presented with abdominal pain,abdominal distension, abdominal mass and irregular menstruation inchildren and adolescence.2、It has184cases of benign tumors, accountfor78.63%,23cases of malignant tumors, account for9.83%,11cases of borderline tumors, account for4.70%,16cases of tumors which thenature is unknown, account for6.84%. Germ cell tumors account for thefirst place（126cases,53.85%）, the teratoma is the main type（119cases,benign tumors account for110, malignant tumors account for9）.3、Different pathological types of ovarian tumor has relationship with theonset of patients’ age, as the growth of the age, epithelial tumors weresignificant increased.4、Ovarian tumors in children and adolescence areeasily misdiagnosed by appendicitis、urinary calculus、gastroenteritis、intestinal obstruction etc.5、The emergency rate of ovarian tumors inchildren and adolescence is high, torsion of ovarian tumor account for74(benign tumors account for72, malignant tumors account for2), theteratoma is the main type(40cases), rupture of ovarian tumor accountfor9.6、The incidence of malignant tumor increased significantly whentumors more than5cm in diameter.Conclusion:1、Physical examination can early identify child and adolescentovarian tumors.2、To children and adolescent female patients, we should think of thepossibility of ovarian tumors. It should be operated as soon as possibleonce diagnosed, to aovid ovarian tumor torsion and necrosis.3、Ultrasound examination is the main method of diagnosis of child and adolescent ovarian tumors.