卵巢交界性肿瘤39例临床分析

The clinical analysis of 39 cases with borderline ovarian tumor

目的:探讨卵巢交界性肿瘤的临床特点及治疗方法。方法:回顾分析9年间收治的BOT患者共39例。结果:35例随访至终点的病例中死亡1例,死亡率2.9%。复发5例,复发率14.7%,其中Ia期1例,Ib期1例,Ic期2例,Ⅲ期1例。复发病例中浆液性3例,1例同时有微乳头结构及微浸润。6例肿瘤剥除者中3例复发,18例单侧附件切除者中1例复发。结论:不同FIGO分期是卵巢交界性肿瘤复发的影响因素。手术是卵巢交界性肿瘤的主要治疗方法,早期有生育要求的患者可选择保守性手术,并尽量选择附件切除术;晚期患者宜行根治性手术。

Objective：To study the clinical features and management of Borderline OvarianTumors（BOT）. Methods：39 cases with Borderline OvarianTumors were retrospectively analyzed. Results：One case（2.9%）died among 35 cases followed up to the end. Five cases（14.7%） relapsed including of 1 case of stage Ia,1 case of stage Ib,2 case of stage Ib and 1 case of stage Ⅲ. Three cases of recurrence were serious tumor,among that 1 case had micropapillary pattern associated with microinvasion. There were 3 recurrences among 6 patients treated by cystectomy,and 1 recurrence among 18 patients treated by oophorectomy. Conclusion：Surgery-pathology stage[FIGO,2000]is the main prognosis factor of BOT. Surgery is the key treatment method for BOT. In early stage disease,conservative surgery is indicated when fertility is desired by the patient. Oophorectomy.is better for conservative surgery. Radical surgery should be performed for advanced patients.