24例卵巢交界上皮性肿瘤的临床及病理分析

THE CLINIC -PATHOLOGIC CHARACTERISTICS OF 24 CASES WITH OVARY BORDERLINE EPITHELIAL TUMOR

目的 :探讨卵巢交界上皮性肿瘤的临床及病理特征。方法 :对 1 975年至 1 998年天津市南开医院及天津市二中心收治的 2 4例卵巢交界性上皮肿瘤的病理学改变、临床分期及手术范围对预后的影响进行分析。结果 :在 2 4例卵巢交界性上皮性肿瘤中浆液性 8例 ,粘液性 1 5例 ,混合性 1例 ,在本组 1 4例 I期患者中 ,保留生育功能占 64.3%。 期 5例 ,均行全子宫加双附件切除术 , 、 期全部给予腹腔及静脉化疗。术后随访复发率 1 6.6%。结论 :手术是交界性上皮肿瘤的主要治疗方式。 I期患者可采用单纯保守性手术 ,对 期以上患者应力求手术干净。而预后与术式及化疗关系不密切 。

Objective:The clinic pathologic characteristics of 24 Cases ovary borderline epithelial tumor were studied Methods:Analyzing the impact upon prognosis by means of 24 cases that were studied in Nankai Hospital Tianjin & No 2 Central Hospital from 1975 through 1998, mainly in the fields various ovary borderline epithelial tumor pathologic characteristics development, clinic stages and operation scopes Results:The total 24 cases, can be classified into following groups: Serous:8 cases; Mucinous:15 cases; Mixed:1 cases Among 14 patients in stage I, 64 3% maintain the procreating ability There are 5 patients of stage Ⅱ who were treated with ovariohysterectomy The patient of stage Ⅱ & Ⅲ were all provided with both celiac & vein chemotherapy Tracing investigation shows that recurrence rate after operation is 16 6% Conclusion:Operation is the main treatment method of borderline epithelial tumor The patient of stage Ⅰ should take the conservative operation The one of stage Ⅱ should try to have a cleared operation The prognosis has few relationship with operation method & chemotherapy, but is influenced by stages as well as if there exist tumor rudiment after operation