摘要
目的:探讨卵巢交界性上皮性肿瘤影响预后的因素。方法:回顾分析71例卵巢交界性上皮性肿瘤患者的临床资料,采用单因素和多因素分析方法分析影响复发和预后的因素。结果:BOT患者的5年总生存率97.0%,5年无瘤生存率为94.0%。单因素分析发现,FIGO分期、微浸润、腹膜种植、手术切除类型(肿瘤剥除与附件切除)、肿瘤包膜破裂、双侧卵巢受累与卵巢交界性肿瘤的预后有关(P<0.05)。COX多因素模型分析提示,手术切除类型、肿瘤包膜破裂是影响预后的独立因素(P<0.05)。结论:BOT发病年龄轻,预后良好,其复发与肿瘤FIGO分期、微浸润、腹膜种植、手术切除类型、包膜破裂等相关。对有高危因素者术后需长期密切随访。
Objective:To evaluate prognostic factors of epithelial borderline ovarian tumors. Methods:The clinical informations of 71 patients were retrospectively analysed. The clinico-pathological characteristics upon recurrence were evaluated by univariate and multivari- ate analyses. Results: 5-year overall survival (OS) and disease free survival rates (DFS) were 97.0% and 94.0%, respectively. Univariate analysis showed that the FIGO stage, microinva- sion, peritoneal implants, excisional type ( eystectomy or adnexectomy), rupture and bilaterality were signficantly related to recurrence (P〈0.05). COX regression analysis indicated that the excisi0nal type and rupture were independently prognostic factors ( P〈0.05 ). Conclusions: BOT frequently affect younger patients and has an excellent prognosis. The FIGO stage, microinva- sion, peritoneal implants, excisional type and rupture were important factors of recurrence and prognosis. Thorough follow-up is warranted, especially for the patients who have high risks of re- currence
出处
《现代妇产科进展》
CSCD
2014年第9期691-694,共4页
Progress in Obstetrics and Gynecology
关键词
卵巢交界性上皮性肿瘤
复发
预后
Epithelial borderline ovarian tumors
Recurrence
Prognosis