39例卵巢交界性囊腺瘤的临床病理分析

Clinicopathological analysis on39 cases with borderline cystadenoma of ovary

目的探讨卵巢交界性囊腺瘤的临床病理特征，分析肿瘤不同组织学改变的意义。方法回顾性分析佛山市南海经济开发区人民医院2002年1月至2013年2月术后病理诊断为卵巢交界性囊腺瘤患者临床特点、肉眼及病理类型。结果39例卵巢交界性囊腺瘤中有5例为黏液性，34例为浆液性。34例浆液性囊腺瘤中有24例生长于卵巢表面及卵巢内，未出现种植；10例出现腹膜种植，其中3例为浸润性种植，7例为非浸润种植。患者均随访5～10年，生存率为100％；术后复发5例，其中术后2年复发3例，术后4年复发2例。结论卵巢交界性囊腺瘤预后一般情况下较好，但部分患者存在复发风险，生长在卵巢表面的交界性囊腺瘤常常伴有腹膜种植。

Objective To explore clinicopathologic feature of borderline cystadenoma of ovary and analyze the clinical value on different histological changes in tumors. Methods The clinical characteristics,the macroscopic types and pathological types of patients with borderline cystadenoma of ovary in the People hospital located in economic de- velopment district,Nanhai city,Foshan province were analyzed retrospectively from January in 2002 to December in 2012. Results Among 39 cases with borderline cystadenoma of ovary,5 cases are mucinous cystic adenomas,34 cases are serous ones. In 34 cases of serous cystic adenomas, 24 cases are ovarian and ovarian surface without implanting;10 cases are peritoneal implantation,including 3 cases with invasive implanting, 7 cases without invasive implanting. A- mong 5 cases recurrenced after operation,3 cases recurred after 2 years, 2 cases recurred after 4 years. All patients were followed up for 5--10 years, the survival rate was 100 %. Conclusion Prognosis of borderline cystadenoma of o- vary is good, but it has the risk of recurrence, the borderline cystadenoma growing on the ovary surface is often ac- companied with peritoneal implantation.