卵巢交界性肿瘤的临床病理诊断及预后分析

Diagnosis and prognosis of clinical pathology of borderline ovarian tumor

目的 探讨卵巢交界性肿瘤（Borderline ovarian tumors，BOT）的临床特点及病理诊断分析。方法 对商丘市妇幼保健院2010年12月至2013年1月收治的56例卵巢交界性肿瘤患者，对其病理诊断及预后进行回顾性分析。结果 54例患者中经病理组织学诊断为单纯BOT型34例（浆液性20例，粘液性11例，其他3例。Ⅰ期15例，Ⅱ期16例，Ⅲ期3例）和BOT伴微浸润型22例（浆液性12例，粘液性8例，其他2例。Ⅰ期5例，Ⅱ期12例，Ⅲ期5例）。随访12—60个月，复发6例，死亡1例。结论 正确诊断卵巢交界性肿瘤，有利于指导临床医师准确实施手术方案及术后治疗。广泛取材并依靠显微镜下观察是评估此类肿瘤的关键。

Objective To investigate the clinical features and pathology of the borderline ovarian tumors （ Borderline ovarian tumors, BOT）. Methods Shangqiu MCH from December 2010 to January 2013 were treated 56 cases of borderline ovarian tumors, its pathological diagnosis and prognosis were analyzed retrospectively. Results Totally 54 patients with histologically diagnosed as simple BOT-type 34 cases （20 cases of serous, mucinous 11 cases, the other three cases. Ⅰ of 15 cases, Ⅱ of 16 cases, Ⅲ of 3 cases） and BOT with micro-invasive type in 22 cases （12 cases of serous, mucinous eight cases, the other two cases. Ⅰ 5 cases, Ⅱ of 12 cases, Ⅲ of 5 cases）. Follow up from 12 to 60 months, recurrence in 6 cases, 1 case died. Conclusion The correct diagnosis of borderline ovarian tumors, help guide clinicians to accurately plan the surgery and postoperative treatment. And rely extensively drawn under the microscope is the key to assessing such tumors.