儿童及青少年卵巢肿瘤治疗进展

：青少年卵巢肿瘤临床上较为少见，但却是青少年人群最常见的妇科肿瘤。其中生殖细胞肿瘤占首位，以畸胎瘤居多，交界性卵巢肿瘤较少见，恶性肿瘤更为少见，约占1％。青少年卵巢肿瘤较之成年人卵巢肿瘤有其特殊性及复杂性，治疗以手术为主，并尽量保留性腺功能及生育功能。随着以铂类为主联合化疗的实施，恶性生殖细胞肿瘤患者的5年生存率超过90％，因此保留生育能力成为临床医生必须面对的另一问题。

Progression in Treatment of Ovarian Tumors in Children and Adolescents

Ovarian tumors are relatively uncommon in adolescents in clinic, but are the most common gynecologic tumor in the pediatric population. Germ cell tumors accounts for the first and teratoma is in the majority. Borderline ovarian tumors are rare and ma- lignant ovarian tumors are less, counting for 1%. Compared to adults with ovarian tumors, those in adolescents have their uniqueness and complexity. Surgery was the major treatment, which must retain gonadal function and reproductive functions as far as possible. With em- ployment of cisplatin-based combination chemotherapies, the 5-year survival rate has reached over 90%; hence preservation of fertility a- bility is another question.