影响卵巢交界性肿瘤复发及预后的因素

The Influential Factor to Recur and Prognostic of Borderline Ovarian Tumors

目的探讨影响卵巢交界性肿瘤的复发及预后的因素。方法回顾性分析我院21例卵巢交界性肿瘤患者的临床、病理资料。结果 21例患者中绝大多数处于FIGO分期的早期(18/21),其中合并微浸润的5例,所有患者均行手术治疗,其中8例行保守性手术,13例行根治性手术,术后化疗患者12例,随访至今生存率92.30%。结论卵巢交界性上皮性肿瘤患者以手术治疗为主,Ⅰ期、无微乳头、微浸润的患者可行保守性手术,对于晚期、伴有微浸润、腹腔种植的患者除根治性手术外,术后可适当辅以化疗以降低肿瘤复发风险,术后严密随访至关重要。

Objective Toapproach the influential factor to recur and prognostic of borderline ovarian tumors. Method To retrospective analyze the clinical and patho data means of 21 borderline ovarian tumors＇pa- tients. Result Majority patients＇ operation - patro - staging occupy the earlier period in FI - GO, among the total, 5 are to merge subtle infiltrative, all of the patients are treat by operation, including： conservatism operation of 8, radical surgery of 13, chem after operation are 12, follow up to now, the survival rate is 92.30 %. Cnoclusion The treatment of borderline ovarian tumors are mainly by operation, patients of period in I time , without micro emulsion, subtle infiltration can treat by conservatism operation, patients of period in advanced stage, having subtle infiltration, implantation in abdominal cavity are treat by radical surgery, and proper chem after operation to cut down the recurrent risk, and above all, its very important to follow - up visit after treatment.