摘要
青少年附件包块是常见的生殖器官疾病,青春期发育阶段女性就诊妇科,影像学检查提示附件包块会涉及包块的进一步诊治,妇科医生会进一步检查以明确病理诊断,并提出后续治疗的建议。青少年常见的良性附件肿瘤是良性畸胎瘤(成熟性畸胎瘤),囊肿扭转是青少年常见的妇科急诊;常见附件恶性肿瘤是恶性生殖细胞肿瘤及性索间质肿瘤,这类肿瘤恶性程度高但经过规范化治疗预后良好。因此,重视青少年女性妇科肿瘤的问题、良性肿瘤的确诊、防止出现急诊情况、恶性肿瘤的早期诊断及治疗均是非常重要的。青少年属于特殊发育阶段,这个年龄的妇科附件肿瘤的诊治关系其一生的生长生育,需要有妇科内分泌理念,更要有肿瘤理念,需要及时治疗,更需要长期管理。
Ovarian tumors in children and adolescents are rare diseases.The distribution of neoplasms in the pediatric population is different from that in adults;benign mature cystic teratoma is the most common ovarian tumor in children Although the majority of tumors are benign,the diagnosis and management present various challenges that require a wide range of expertise.The multidisciplinary team ensures not only accurate diagnosis and correct and minimally invasive management,but also minimal psychological impact and the preservation of fertility.During management a multidisciplinary team is essential for the physical and psycho-emotional wellbeing of this vulnerable population of patients.This article outlines the multidisciplinary team approach to ovarian masses in children and adolescents.The team includes pediatric oncologists,gynecological surgeons,pathologists,radiologists,fertility experts,geneticists and psycho-social services.
作者
杨佳欣
YANG Jia-xin(Gynecological Oncology Center,Peking Union Medical College Hospital,Peking Union Medical College&Chinese Academy of Medical Science,Beijing 100730,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2020年第12期1140-1144,1145,共6页
Chinese Journal of Practical Gynecology and Obstetrics
基金
中国医学科学院创新工程2017-I2M-1-002资助(CAMS-2017-I2M-1-002)。
关键词
附件包块
青少年
生殖细胞肿瘤
多学科合作
adnexal mass
adolescents
germ cell tumor
multidisciplinary cooperation
作者简介
杨佳欣,电子信箱:yangjiaxin@pumch.cn。
