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KMID : 0351619700110010205
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Kyungpook Medical Journal
1970 Volume.11 No. 1 p.205 ~ p.211
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Ovarian Tumors in Childhood and Adolescence
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朴在錫/Park, Jae Suk
全相年/洪君植/鄭奇俊/李台鎬/Jeun, Sang Nyun/Hong, Koon Sik/Chung, Ki Zoon/Lee, Tae Ho
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Abstract
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Ovarian tumors in .children present difficult problems in diagnosis and management.
Clinicians has difficult problems in di;~tinguishing the functional varients from the pathologic aberrations which make up ovarian tumors in childhood and in distinguishing benign or malignant neoplasms.
The authors undertook this study because of clinical survey of juvenile ovarian tumors as observed 40 cases.
The results obtained are as follows:
1) The incidence of ovarian tumors ur.~.der age of 20(1901968) was 5.79% of alI ovarian tumors.
2) The incidence of benign ovarian cystadenoma under age of 20 was dermoid cyst 43.5%, mutinous cyst 26%> serous cyst 19.5%.
3) Age distribution of juvenile ovarian tumors was between 920 years. The tumors occured frequently between 1820 years.
4) The incidence of malignant ovarian tumors was about 10%.
5) Among the subjective symtpoms complained of by the patient, about 80 ~ noticed abdominal mass, 15% complained of G-I troubles.
6) As to the objective signs amcng the patients, about 97 % noticed abdominai mass. Abdominal tenderness was observed in 27 ~.
7) Benign ovarian tumors were observed 44.4 in right ovary, 38.8% in left and lE. 16.6% in bilateral ovaries. We can see the greate roccurence of tumors in right ovary in benign ovarian tumors.
8) The size of benign and malignant ovarian tumors were nearly over adult fist size if the lutein cyst was excluded. The mutinous cysts and serous cysts generally were the largest.
9) The incidence of pedicle torsion of ,all ov-arian tumors was 22.4%.
10) The treatment for benign ovarian tumors of 36 cases was unilateral salpingo-oophorE;ctomy in 30 cases and bilateral salpingo-oophorE~ctomy in 6 cases, and for malignant was surgical pr-imarily and the principle of it was total hyster-ectomy with bilateral salpingo-oophorectomy with or without omentectomy, Abjuvant treat-ment, X-ray irradiation was applied to all malignant ovarian tumors.
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KEYWORD
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