卵巢交界性肿瘤的诊断和治疗

Diagnosis and management of borderline ovarian tumors

目的：探讨卵巢交界性肿瘤的临床特点和治疗方法。方法：回顾性分析我院10年间收治的29例卵巢交界性肿瘤的临床资料。结果：浆液性13例、粘液性15例、勃勒纳瘤1例。21例行保守性手术、8例行根治性手术，4例术后行2～4疗程化疗，随诊26例全部无瘤存活，1例复发，4例妊娠。结论：卵巢交界性肿瘤预后良好，手术是其有效地治疗手段，对早期患者行保留生育功能的手术是安全有效的，术后须长期随访。

Objective： To study the clinical features and management of borderline ovarian tumor. Methods： A retrospective survey was conducted in 29 cases with borderline ovarian tumor diagnosed between Jan. 1996 and Dec. 2005. Results： The histological types： 13 cases were serous borderline tumor, 15 cases were mucinous borderline tumor, one was Brenner borderline tumor. All patients were operated, 21 cases received conservative management, 8 cases received radical surgery, 4 cases received post-operative chemotherapy, 4 cases were pregnancy. Conclusion： The prognosis of borderline ovarian tumors is much better than that of malignant tumor. Surgery is the main effective approach for them. Conservative surgery is the proper treatment for the young patients of early stage when fertility is desired. A careful follow- up will be required.