卵巢交界性肿瘤临床诊治体会.docVIP

卵巢交界性肿瘤临床诊治体会作者单位：272200 山东省金乡县中医院（郁志兰）;山东省济宁市金乡县人民医院（杨海花） 通讯作者：郁志兰 【摘要】 目的 探讨卵巢交界性肿瘤的诊断与治疗方式。方法 对2009～2011年本院收治的15例卵巢交界性肿瘤进行回顾性分析。结果 组织学类型：黏液性10例，浆液性5例。临床分期：Ⅰ期9例，Ⅱ期4例，Ⅲ期2例，无Ⅳ期患者。行单侧附件切除术7例，子宫和单侧附件切除术3例，子宫和双侧附件切除术加（或不加）大网膜、阑尾切除术5例。术后未行化疗4例，余11例术后均进行了化疗，病例随诊1～12年，随诊期内均存活。结论 黏液性瘤所占比例明显高于浆液性瘤。手术治疗是交界性肿瘤有效的治疗手段。对Ⅰ期有生育要求的患者应尽量保留生育功能，对年轻患者应至少保留一侧卵巢。卵巢交界性肿瘤患者术后化疗与否不影响预后，尤其是Ⅰ期患者。CA【sub】125【/sub】对交界性肿瘤的监测有一定意义。 【关键词】 卵巢肿瘤； 外科手术； 化疗 The diagnosis and treatment of borderline ovarian tumors YU Zhi-lan,YANG Hai-hua.Obstetrics and Gynecology of Jinxiang County Hospital,Jinxiang 272200，China 【Abstract】 Objective To investigate the borderline ovarian tumor diagnosis and treatment.Methods 15 patients with borderline ovarian tumors in our hospital were retrospectively analyzed from 2009 to 2011.Results Histological types of 10 cases of mucinous, serous in 5 cases. 9 cases of clinical stage I, Ⅱ stage in 4 cases, Ⅲ of 2 cases and no patients with stage Ⅳ. Unilateral oophorectomy in 7 cases, the uterus, and 3 cases of unilateral oophorectomy, hysterectomy and bilateral oophorectomy with （or without） the greater omentum, 5 cases appendectomy. 4 cases of postoperative chemotherapy without the line, more than 11 cases were carried out after chemotherapy, patients were followed up 1 to 12 years, followed up on 15 patients survived.Conclusion The proportion of mucinous tumors was significantly higher than that of serous tumors. Borderline tumor surgery is an effective treatment. I asked for the patients of a reproductive reproductive function should be retained for young patients should be kept for at least the side of the ovary. Borderline ovarian cancer patients after chemotherapy or not does not affect the prognosis, especially in I of the patients. CA【sub】125【/sub】 monitoring of borderline tumors have a certain significance. 【Key words】 Ovarian cancer; Surgery; Chemotherapy 卵巢交界性上皮性肿瘤是病理组织学特点和生物学行为，其是介于卵巢良性肿瘤和恶性肿瘤之间的一类肿瘤。卵巢交界性肿瘤的组织学诊断标准包括瘤细胞核的异型性，上皮复层改变，有微小乳头状突起形成，无