卵巢上皮性交界性肿瘤24例分析

THERAPY AND PROGNOSIS OF EPITHELIAL OVARIAN TUMORS WITH BORDERLINE MALIGNANCY: WITH AN ANALYSIS OF 24CASES

作者对１９５８年１月～１９９３年３月收治的卵巢上皮性交界性肿瘤２４例作回顾性分析，提出其特点：患者年龄较轻，以临床Ⅰ期为多，恶性度低，复发较晚，预后好。治疗以手术为主，Ⅰａ期＜４０岁患者可行单侧附件切除术，以保留卵巢内分泌功能；＞４０岁患者行双侧附件及全子宫切除术；Ⅱ、Ⅲ期病人应行肿瘤细胞减灭术及淋巴清扫术，术后加辅助治疗。交界性肿瘤的预后与临床期别及病理类型有关。

wenty four cases of epithelial ovarian tumors with borderline malignancy collected fromJan. 1958 to Mar.1993 are analysed.They are characterized by mean age of 45.5 years,an earlierstage,a low malignant potential,a latter recurrenc and a good prognosis. The therapy is operationwith adjuvant treatment for these patients. For retention of ovarian endorcrine function,unilater-al adnexectomy was performed on the patients under 40 years. Bilateral adnexectomy and hys-terectomy were performed on the patients over 40 years.Tumor cytoreducing operation,with aradical retroperitonial lymph node dissection and adjuvant therapy was performed on the patientsin stage Ⅱ and The prognosis of the patients was related to teh clinical staging and pathologi-cal classification of the tumors.