卵巢浆液性和粘液性交界瘤的临床病理分析  

Clinicopathologic analysis of ovarian serous and mucinous borderline tumors

作　　者：钟传庆[1] 于晓红[1] 张佳立[1] 魏宝秀[1] 罗兵[2] 孙丽萍[1] 张南[1] 付秋风[1] 

机构地区：[1]江西省妇幼保健院病理科,南昌330006 [2]江西省妇幼保健院肿瘤科,南昌330006

出　　处：《中华病理学杂志》2001年第4期253-255,共3页Chinese Journal of Pathology

摘　　要：目的　观察卵巢交界瘤的临床病理学特点 ,探索肿瘤不同组织学改变的意义。方法　对 4 5例卵巢浆液性和粘液性交界瘤进行回顾性分析。肿瘤分期按国际妇产科联合会 (FIGO)标准 ,Ⅰ期 3 4例 ,Ⅱ期 4例 ,Ⅲ期 7例。结果　 4 5例卵巢浆液性和粘液性交界瘤占同期卵巢上皮恶性肿瘤的2 5 .4 % ,浆液性同粘液性交界瘤的比为 1∶1.3 ,11例生长于卵巢表面的浆液性交界瘤中 ,9例出现腹膜种植 ,2例为浸润性种植 ,7例为非浸润性种植。 2例浆液性交界瘤和 1例粘液性交界瘤分别于术后5、4和 1年复发。 3 3例交界瘤经 2～ 9年随访 ,按Kaplan Meier法 5年生存率为 10 0 %。结论　卵巢浆液性交界瘤预后较好 ,卵巢表面生长的浆液性交界瘤常伴有腹膜种植。Objective To understand the clinicopathological features of ovarian borderline tumors and evaluate the significance of various histological appearances. Methods Forty five patients with borderline tumors were analyzed retrospectively. The stage distribution was stage Ⅰ, 34 patients, stage Ⅱ, 4 patients and stage Ⅲ, 7 patients. Results Forty five cases of borderline tumors accounted for 25.4% of ovarian epithelial malignant tumors. The ratio of serous borderline tumors (SBTs) to mucinous borderline tumors (MBTs) was approximately 1∶1.3. Nine of eleven SBTs with exophytic growth presented peritoneal implants, of which two were invasive and seven noninvasive. Two SBTs and 1 MBT recurred after 5, 4, and 1 years respectively. Thirty three cases were followed from 2 to 9 years. The 5 year survival rate was 100% (Kaplan Meir method). Conclusions The prognosis of the SBTs is favorable. SBTs with exophytic growth are often associated with peritoneum implants.

关 键 词：卵巢肿瘤 腹膜肿瘤 肿瘤种植 肿瘤复发 局部 

分 类 号：R737.31[医药卫生—肿瘤]