国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (4): 288-293.

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卵巢交界性肿瘤有关问题

宋 坤, 孔北华   

  1. 250012 济南,山东大学齐鲁医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-08-15 发布日期:2013-08-15

The Related Issues about Borderline Ovarian Tumors

SONG Kun, KONG Bei-hua   

  1. Department of Obstetrics and Gynecology, Qilu Hospital, Shandong University, Jinan 250012,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-08-15 Online:2013-08-15

摘要: 卵巢交界性肿瘤又称低度恶性潜能肿瘤,是介于良性肿瘤和恶性肿瘤之间的一组特殊类型的卵巢肿瘤。发病年龄轻,多数疾病为早期,预后较好,晚期及伴有浸润性种植者预后相对较差。主要病理类型为浆液性和黏液性交界性肿瘤。交界性肿瘤一般应行全面分期手术,年轻患者可行保留生育功能的手术。早期和低危病例无需术后辅助治疗,晚期和浸润性种植者可行术后辅助化疗。交界性肿瘤多远期复发,需长期随访。

关键词: 卵巢肿瘤, 妇科外科手术, 预后

Abstract: Borderline ovarian tumor(ovarian tumor of low malignant potential) is characterized by histopathologic features and biologic behaviour intermediate between clearly benign and frankly malignant ovarian tumors. Most patients are younger. Most diseases are early staged with better prognosis,but in the advanced and implanted cases the prognosis is relatively worse. The main pathological types are serous and mucinous borderline ovarian tumor. Generally,comprehensive staging surgery should be performed for the patients. For the young patients the fertility-sparing surgery could be a treatment modality. Post-operational adjuvant therapy is not needed in the cases of early stage and low risk,but adjuvant therapy could be chose in advanced and invasive implanted cases. Long term follow-up should be done because of the late relapses of this kind of diseases.

Key words: Ovarian neoplasms, Gynecologic surgical procedures, Prognosis