난소종양의 임상병리학적 고찰 = Clinico Pathological Survey on Ovarian Tumors

다국어 초록 (Multilingual Abstract)

A clinico-pathological survey was made on series of 301 ovarian tumor cases operated in Presbyterian Hospital, Taegu, Korea from January, 1960 through June, 1967. 1. An icidence of ovarian tumor during this period was 13.0% of total operated cases in Obs. & Gyn. Service. 2. Age incidence of all ovarian tumor averaged at 37.5 years, and an average age incidence for the malignancy was 44.5 years. 3. As to subjective symptoms in all ovarian tumors, lower abdominal pain was noticed in 50.8% In benign ovarian tumors. lower abdominal pain was predoninating symptom appearing in 51.6% of the cases while lower abdominal mass predominates in malignant ovarian tumors and appear in 77.8% of the cases. 4. Primary sterility was noted in 16.9% of all ovarian tumors and secondary sterility, in 9.6% of the cases. 5. Menarche began at 16 years of age in 30.6% of the cases. 6. There was no great difference between incidence of benign and malignant ovarian tumor as to parity from para 0 to para 4, but he fact increasing parity parallels increasing incidence of malignant tumor corresponds with the increasing tendency of malignant tumor in the older age. 7. Occurrance of menstrual irregularity among total ovarian tumors was noted in 27.2% of the cases, and that in the benign tumors, 25.4% and 37.8%, in malignant tumors. 8. Physical finding: a) Ascites was observed in 17.9% of all ovarian tumors, 13.7% of benigh tumors and 42.2% of malignant tumors. b) Cachexia was observed in 3 cases(0.9%) c) Adhesions with the adjacent organs were observed in 30.9% d) The incidence of combination with pregnancy was observed in 11.3% e) Pedicle torsion of ovarian tumors was noted in 17.2% 9. Concerning heoglobin content level, occurrence of subnormal(below 12gm/100ml) level was noted in 45.1% of all ovarian tumor cases. 10. The incidence of benign tumors was 85.1% of all ovarian tumors while that of malignant ones, 14.9% 11. The incidences of benign and malignant tumors among all ovarian tumors were as follows: Serous cystadenoma:31.6% Cystcter atoma, benign:28.9% Pseudomucinous cystadenoma:18.6% Serous cystadenocarcinoma:22.5% Pseudomucinous cystadenocarcinoma:22.2% 12. An incidence of cystic tumors among benign tumors was 95.4% and an incidence of solid tumors among malignant tumors was 68.3% 13. As to common size of all ovarian tumors, tumor with the size of an adult`s fist occurred in 34.0% of the cases, while one with the size of a child`s head was noted in 33.3% of all malignant tumors. 14. Bilaterality was noted in 17.3% of all ovarian tumor cases, in 15.6% of benign tumors and in 26.7% of malignant tumors. 15. Bilaterality of dermoid cysts was noted in 16.1%, of serous cystadenoma, in 10.0% and of pseudomucinous cystadenoma, in 8.9%. 16. Among benign tumors the incidence of serous cystadenomas was 37.6%, that of dermoid cyst, 33.9% and that of pseudomucinous cystaden-omas, 21.4%. 17. Malignancy of pseudomucinous type was observed in 15.2%, that of serous type, in 10.3% and that of dermoid cyst, in 4.3%.