摘要
目的 :探讨卵巢交界性肿瘤的临床特征和治疗方法。方法 :回顾性分析 5 4例卵巢交界性肿瘤的临床病理学资料。结果 :发病年龄平均 41.2岁 , 期 45例占 83.3% ,粘液性 30例 (5 5 .6 % ) ,浆液性 17例 (31.5 % ) ,混合性 7例(13.0 % )。治疗后仅 1例 (1.9% )复发。治疗以手术为主 ,31例术后辅以化疗。 2 3例 (4 2 .6 % )行保守性手术 ,其中 4例在随访期间正常妊娠及分娩。结论 :卵巢交界性上皮性肿瘤预后良好 ,手术是其有效的治疗手段 ,对临床 期 ,尤其需保留生育功能者 ,保守性手术较安全有效 ,而对 期及以上患者 。
Objective:To study the clinical features and management of borderline ovarian tumor.Methods:A retrospective survey was conducted in 54 patients with borderline ovarian tumor diagnosed between March,1990 and September,1999.Results:Mean age was 41.2 years.45 cases(83.3%) were in stage Ⅰ,30 patients (55.6%) had mucinous borderline tumors,17 patients (31.5%) serous,and 7 patients (13.0%) mixed epithelial tumors.1 case (1.9%) developed a recurrence.All patients were operated,32 received postoperative chemotherapy.Of the 23 patients who underwent conservative management,4 patients delivered babies.Conclusions:Surgery is the proved only effective treatment of borderline ovarian tumor till now,without any residual disease is expected.Conservative surgery is proper treatment for young women with borderline ovary tumors in stage Ⅰ,but careful follow-up will be required to detect tumor recurrence.But for patients of stage Ⅱ and beyond,radical treatment should be done.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2002年第4期219-220,共2页
Journal of Practical Obstetrics and Gynecology
