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什么是卵巢肿瘤?

卵巢肿瘤可以在一个或两个卵巢上出生的雌性的婴儿和青少年形成,这些卵巢是储存和释放卵并产生雌激素的器官。卵巢质量可能是囊肿或肿瘤。肿瘤可以是癌变的或良性的;肿瘤和囊肿都可能单独或集群出现。

卵巢肿瘤占出生至17岁儿童中所有恶性肿瘤的1%。在8岁以下的女性中,五分之四的卵巢肿瘤是良性的。

卵巢肿瘤与卵巢囊肿有区别,因为它们是更固体的组织,而囊肿充满了液体,组织或其他材料。一些卵巢囊肿可以发展为癌症。非功能性囊肿不会自行消失并且与每月产生鸡蛋产生鸡蛋的女性无关。

卵巢肿瘤的症状是什么?

卵巢肿瘤有时不产生症状,or their symptoms depend on the size and location of the growth. Keep in mind that the symptoms of an ovarian tumor may resemble other more common conditions or medical problems. It is important to consult your child's physician for a diagnosis.

卵巢肿瘤症状可能包括:

  • feeling of pressure or fullness in the abdomen or pelvis
  • 腹部牢固,无痛的肿胀
  • frequent urination or retention of urine
  • persistent abdominal pain
  • nausea
  • 呕吐

Among children younger than 8, an ovarian tumor or cyst may cause secretions of estrogen, producing:

  • 乳房增大
  • 阴毛
  • 阴道或出血
  • abnormal menstrual bleeding

是什么导致卵巢肿瘤?

Doctors do not completely understand the cause of most ovarian tumors. There’s nothing that could have been done or avoided doing that would have prevented the tumor from developing. It’s important to understand that these and other tumors most often occur with no known cause.

How we care for ovarian tumors

Malignant ovarian tumors are treated at达娜·法伯(Dana-Farber)/波士顿儿童癌症和血液疾病中心通过我们的实体瘤中心。我们的治疗团队包括医学肿瘤学家,外科肿瘤学家,放射肿瘤学家和儿科专科医生,包括妇科医生,他们在治疗卵巢肿瘤方面具有专业知识。

In children and adolescents, ovarian tumors have a much higher cure rate than adult forms of ovarian cancer. At Dana-Farber/Boston Children's, almost all ovaries are saved when removing ovarian tumors, helping to preserve your future fertility.

If the ovarian tumor is benign, it will be treated through the妇科科在波士欧宝彩票平台顿儿童医院。

Our areas of research for ovarian tumors

许多卵巢肿瘤是一种生殖细胞肿瘤。Various germ cell tumor research studies are underway to help build our understanding of how treatment types and dosages can be modified according to the tumor sub-type, stage, location on the body, and the age and gender of the child to provide the best possible outcome.

Due to the rarity of germ cell tumors in children, statistically meaningful data with multivariate analysis is difficult to achieve. To address that, the恶性生殖细胞国际协作(魔术)成立。这个财团,由A. Lindsay Frazier,医学博士Dana-Farber/Boston儿童的一名儿科肿瘤学家是全球生殖细胞肿瘤专家的合作,包括儿科,妇科和Genito-rariarine肿瘤学家。

Clinical trials for ovarian tumors

对于许多患有罕见或难以治疗的儿童,包括睾丸生殖细胞肿瘤,临床试验(评估新治疗方法的研究)提供了新的选择。

Participation in anyclinical trialis completely voluntary. We will take care to fully explain all elements of the treatment plan prior to the start of the trial, and you may remove your child from the medical study at any time.

卵巢肿瘤|Diagnosis & Treatments

如何诊断卵巢肿瘤?

The first step in treating your child is forming an accurate and complete diagnosis. After a complete medical history and physical exam, your child’s physician may recommend:

There may be other diagnostic tests that your doctor will discuss with you depending on your child's individual situation. After we complete all necessary tests, our experts meet to review and discuss what they have learned about your child's condition. Then we will meet with you and your family to discuss the results and outline the best possible treatment options.

卵巢肿瘤有哪些治疗选择?

您的孩子的医生将根据几个因素来确定特定的治疗方法,包括孩子的年龄,整体健康和病史以及肿瘤的大小和恶性肿瘤。

Your child's treatment will almost always include surgery. Pediatric gynecologic surgeons will remove as much of it as possible, while attempting to preserve your child's ability to have children. If an ovarian cyst growth is cancerous, and the cancer has spread far, the ovaries, uterus, fallopian tube, fatty tissue covering the intestines (omentum), and lymph nodes may be removed, in a process called debulking.

如果肿瘤是恶性的,则治疗也可能包括化学疗法and/orradiation therapy

Chemotherapy and radiation therapy

化学疗法是一种干扰癌细胞生长或繁殖能力的药物。手术前的化学疗法可能有助于缩小肿瘤,从而可以切除。手术后使用,可以帮助抵抗癌症的复发。不同的化学疗法药物以不同的方式起作用,可以抵抗癌细胞和收缩肿瘤。您的孩子可能会口服化学疗法,作为吞咽的药丸;肌肉内,作为注入肌肉或脂肪组织的注射;静脉注射,直接注射到血液或IV中;或胸前,作为通过针头直接注入脊柱。我们的医生还使用专用机器的高能射线来损害或杀死癌细胞并收缩肿瘤。

卵巢肿瘤|Programs & Services

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