交界性卵巢冠囊肿七例临床及病理分析  

Clinical analysis of seven cases of parovarianborderline tumors

作　　者：陈有仲[1] 师宜荃[1] 刘桂馨[1] 

机构地区：[1]天津中心妇产科医院

出　　处：《中华妇产科杂志》1994年第10期614-616,T065,共4页Chinese Journal of Obstetrics and Gynecology

摘　　要：回顾性分析７例交界性卵巢冠囊肿临床与病理特点。７例占同期４５１例卵巢冠囊肿的１．６％。发病年龄自１６岁至６０岁，平均３７岁。７例交界性卵巢冠囊肿的病理特点为，表面光滑，源于阔韧带，输卵管、卵巢均正常。肿瘤大小自３ｃｍ×２ｃｍ×１ｃｍ至８ｃｍ×８ｃｍ×７ｃｍ。囊内含有浆液性清亮液体，囊内壁有乳头突起。７例中６例源于苗勒管上皮（副中肾管），另１例源于中肾管上皮。后者有明确的基底膜。７例术后随访１～１１年，均无复发。本文复习了有关交界性卵巢冠肿瘤的文献，并对其临床表现、病理特征及治疗进行了讨论。even cases of primary parovarian borderline tu-mors are presented, Comprising 1.6%of 451 cases ofparovarian cysts treated.The age range of the 7 caseswas from 16 to 60,with a mean value of 37 vears.Ab-dominal mass,lower abdominal pain or discomfort werechief clinical complaints. In one case,because of amen-orrhea of 2 months,duration, the preoperative diagnosiswas mistaken to be extra-uterine pregnancy. Surgicalexamination revealed normal appearance of ovaries andfollopian tubes. Smcoth-surfaced cystic masses arisingfrom the broad ligaments were found in all of the 7 cas-es,their size ranged from 3cm× 2cm×1. 5cm to 8cm×8cm×7cm。 Internal papillary projections single or mul-tiple,and clear serous fluid were seen in all of the 7 cys-tic specimens. Microscopically the cyst wall and papil-lary projections were lined with stratified cuboid orcolumnae epithelium,Abundant and complicated raTnifi-cations of the projections were seen,The nuclei showedslight to moderate metaplasia; mitoses were rare. 6 ofthecases originated from paramesonephros and 1 easewas of mesonephric origin. The seven patients werelivingand well during a postoperative follow-up periodof 12 months to 11 years. Literature review on primaryparovarian borderline tumors, their clinical presenta-tion, pathological characteristics,therapy and prognosisare presented and discussed.

关 键 词：卵巢肿瘤 卵巢冠囊肿 交界性 病理 

分 类 号：R737.310.2[医药卫生—肿瘤]