Ovarian clear cell tumor

　　There have been reports of clear cell tumors in the lower female reproductive tract in young women, which are related to the use of estrogen during pregnancy. The ovarian clear cell tumor is mainly classified into the following three categories according to benign and malignant nature:
　　1. Benign:Composed of fibroma-like tissue lined with clear cells and hobnail cells.
　　2. Borderline:Tumors vary in size and are lobulated, with a solid or solid-cystic configuration. The few diagnosed borderline clear cell tumors are mostly adenofibromas, others include clear cell adenomas and cystadenofibromas. The epithelium of the tumor nests is composed of 1 to 3 layers of polygonal or spiculated cells, atypical cells are visible, mitotic figures are not more than 3 per 10 high-power fields, and there is no stromal infiltration.
　　3、恶性：

　　There is a close relationship between clear cell carcinoma and endometriosis, and the incidence of pelvic endometriosis can reach 25% to 50%, higher than all other ovarian cancers including ovarian endometrioid carcinoma.

　　Ovarian clear cell tumor often presents with abdominal mass and abdominal distension; half of the patients have a history of infertility, menstrual disorders, or postmenopausal bleeding; about 10% have hypercalcemia, the typical symptoms are decreased appetite, muscle weakness, polyuria, thirst, etc. After surgical resection of the tumor, hypercalcemia often returns to normal within 36 hours. If the tumor recurs, blood calcium will rise again. There is a close relationship between clear cell carcinoma and endometriosis, and the incidence of pelvic endometriosis can reach 25% to 50%, higher than all other ovarian cancers including ovarian endometrioid carcinoma. Ovarian clear cell carcinoma often has a large mass, and most of the diagnoses are early, up to 50% to 65%, which is different from other ovarian epithelial carcinomas.

　　At present, there are no targeted preventive measures for ovarian clear cell tumor. High-risk groups should do regular physical examinations, early detection, and early treatment. After treatment, pay attention to follow-up monitoring of tumor markers to prevent recurrence.

　　Diagnosis can be made based on the patient's clinical manifestations, signs, and the following examination results.
　　First, laboratory examination
　　1, Serum electrolyte detection: Serum calcium, etc.
　　2, Blood examination: Determine whether there is liver and kidney function damage and whether there are abnormalities in blood routine.
　　3, Tumor marker examination: Ker, EMA, LeuM1, B72.3 show diffuse strong positivity.
　　Second, other auxiliary examinations
　　1, Laparoscopic examination.
　　2, Imaging examination: Ultrasound, CT, MRI help diagnose the size and location of the tumor.
　　3, Histopathological examination: Can clearly determine the nature of the tumor.
　　　　
　　

　　For patients with ovarian clear cell tumor, the diet should be light and nutritious. The following are several recommended food therapy recipes that are suitable.

　　1, Iron (food) leaf and red date soup

　　200 grams of iron leaf and 10 red dates. Wash the two ingredients and put them in a pot, add an appropriate amount of water, and decoct to extract the juice. Take one dose per day, divided into 3 times, for a course of 30 days.

　　2, Scutellaria Quail Egg

　　60 grams of radix scutellariae and 4 quail eggs. Boil radix scutellariae and quail eggs with water until the eggs are fully cooked. Remove the radix scutellariae. Take one dose per day, eat the eggs, and take for 15 consecutive days.

　　3, Dragon Pearl Tea

　　15 grams of solanum nigrum seeds, 30 grams of diatomaceous earth, an appropriate amount of brown sugar. Boil solanum nigrum seeds and diatomaceous earth in water, remove the dregs and take the juice, add brown sugar. Drink as tea every day.

　　4, Cuttlefish and White Barks

　　60 grams of cuttlefish meat, 10 white barks, appropriate amount of seasoning. Wash the two ingredients clean, put them in a pot, add an appropriate amount of water, boil until the meat is soft, add seasoning and it is ready. Take once a day, take the soup together.

　　5, Motherwort Boiled Eggs

　　50 grams of motherwort, 2 eggs. Wash the motherwort and cut into sections, boil with eggs and water, remove the shell of the eggs after they are cooked, and boil for a few more minutes. Take 1 dose per day, eat the eggs and drink the soup.

　　6, Dried Tangerine Peel and Beef

　　30 grams of dried tangerine peel, 15 grams of cyperus rotundus, 500 grams of beef, scallions, ginger, salt in appropriate amounts.

　　Preparation: Boil dried tangerine peel and cyperus rotundus in 2000 grams of water for half an hour, remove the dregs, add beef with scallions, ginger, salt and other seasonings, and stew over low heat until tender.

　　Effects: Soothe the liver, regulate the qi, strengthen the spleen and benefit the qi.

　　7, Ginseng and Astragalus Strengthening Spleen Soup

　　10g ginseng, 10g Astragalus, 18g Codonopsis pilosula, 18g Chinese yam, 15g Chinese wolfberry, 10g Angelica sinensis, 5g dried tangerine peel, 14g longan meat, 300g pork ribs or 1 whole chicken, an appropriate amount of clear water.

　　Preparation: Wash traditional Chinese medicine such as ginseng and Astragalus clean, put them in a cloth bag and tie the mouth, and cook them with spareribs or whole chickens together with water. Boil over high heat first, then low heat, for 2-3 hours, remove the cloth bag, add salt, pepper and other seasonings.

　　Take 1 small bowl each time, once a day, the above materials can make 5 small bowls. Eat meat and drink soup, the surplus can be stored in the refrigerator.

　　Effects: Strengthen the spleen and benefit the lung, invigorate the stomach and strengthen the spirit.

　　Applicable to the adjustment after ovarian cancer surgery.

　　8, Raphanus sativus Porridge Formula

　　Raphanus sativus, 100g glutinous rice, 5 jujubes, an appropriate amount of clear water.

　　Preparation: First, boil the root of Raphanus sativus in water to make a decoction, remove the dregs, then add glutinous rice and jujube to cook porridge. Eat on an empty stomach, do not overeat.

　　Effects: Promote bowel movements, relieve edema and swelling.

　　Applicable to ascites caused by urinary difficulty in ovarian cancer.

　　Patients with ovarian clear cell tumors should undergo systemic examination and determine the scope of surgery according to the stage. Adjuvant chemotherapy is given after surgery. Compared with the effect of platinum treatment on serous carcinoma, the response rate of the former to cisplatin is significantly lower, and better chemotherapy regimens need to be sought.