原发性腹膜浆液性交界性肿瘤1例报道及文献复习

Primary peritoneal serous borderline tumor: A case report and literature review

目的:探讨原发性腹膜浆液性交界性肿瘤(primary peritoneal serous borderline tumor,PPSBT)的临床表现、鉴别诊断、临床诊治方法和预后。方法:报道1例原发性盆底腹膜浆液性交界性肿瘤(低度恶性)的临床诊治经过、术中发现、病理学特征及免疫组化特点,复习相关文献。结果:术中探查见盆底腹膜表面、直肠前壁浆膜面、子宫表面及卵巢表面见弥漫粟粒样小结节,较大者直经约0.3cm,灰白色。术后证实为盆底腹膜浆液性交界性肿瘤伴腹膜、子宫外膜及卵巢表面广泛种植(低度恶性)。结论:原发性腹膜浆液性交界性肿瘤为低度恶性肿瘤,预后较好。首选手术治疗,对年轻的患者,建议保留子宫及卵巢。术后放化疗被认为不可取。

Objective： To analyze clinical symptoms, differential diagnosis, therapies and prognosis of the primary peritoneal serous borderline tumor（PPSBT）. Methods：To report one case of PPSBT, its clinical diagnosis and treatment processes, the findings during operation, characteristics of pathology. Results： According to operation exploration, there were diffuse, gray - white nodules on the serous of rectum, the surface of uterus and ovaries, and the diameter of larger was 0.3cm. Postoperative pathological diagnosis：Pelvic peritoneal serous borderline tumor along with the surface implants of peritoneal, uterus and ovaries （low malignant potential）. Conclusion： PPSBT have low malignant potential,its prognosis is good. Surgical therapy is preferred. Conservation of the uterus and ovaries should be a con- sideration in young female. Postoperative chemotherapy or radiation therapy is not advisable.