原发性卵巢肉癌极为罕见,迄今文献报道299例,本文介绍Iowa大学医院和门诊部1952～1932年收治的14名卵巢肉瘤病人的情况。病人年龄21～65岁,病例数占同期收治的全部卵巢癌病人的1%,93%既往月经规律,57%为绝经后,21%为未产妇。就诊主要症状为腹部不适,腹围增大,胃肠道异常和排尿习惯改变,1例病人为绝经后出血,79%(11/14)的病人初诊时可扪及腹部及盆腔肿物。病人均无放疗史,无内膜异位症史或伴发内膜异位症,1例病人并发卵巢内膜样癌,另1例有乳癌手术史。就诊时,5例病人为Ⅰ或Ⅱ期,3例因术时未作分期性活检故未分期,复查病例未发现有明显外扩散的迹象。6例为Ⅲ、Ⅳ Primary ovarian cancer is extremely rare, so far reported in the literature of 299 cases, this article describes the Iowa University Hospital and outpatient department 1952 to 1932 admitted 14 patients with ovarian sarcoma. Patients aged 21 to 65 years old, the number of cases accounted for 1% of all ovarian cancer patients admitted at the same period, 93% of the previous menstrual cycle, 57% of postmenopausal women, 21% were not mothers. The main symptoms were abdominal discomfort, increased abdominal circumference, abnormal gastrointestinal tract and changes in urination habits. One patient had postmenopausal bleeding and 79% (11/14) had palpable abdominal and pelvic masses on first visit. None of the patients had a history of radiotherapy, no history of endometriosis or endometriosis, one patient had ovarian endometrioid carcinoma, and the other had a history of breast cancer surgery. At the time of visit, 5 patients were stage Ⅰ or Ⅱ, and 3 patients were not staged because of no staging biopsy at the time of operation. There were no obvious signs of external spread in the review cases. Six cases were Ⅲ, Ⅳ