卵巢交界性上皮性肿瘤的病理特征与其复发的相关影响因素  

Pathological features of borderline ovarian tumor and related influence factors for recurrence

作　　者：苏文平 张锁平 

机构地区：[1]陕西省扶风县人民医院,陕西宝鸡722200

出　　处：《临床医学研究与实践》2016年第21期48-49,共2页Clinical Research and Practice

摘　　要：目的研究卵巢交界性上皮性肿瘤病理特征,并分析其复发相关影响因素。方法选取2011年1月至2013年1月本院接收的80例卵巢交界性上皮性肿瘤(BOT)患者,回顾性分析其临床资料、诊治过程及术后标本,总结其病理学特征,分析影响复发的有关因素。结果 80例BOT患者临床表现主要为腹部包块(77.50%),组织病理学分型有浆液性肿瘤26例,粘液性肿瘤47例,其他类型7例;20例病理切片检验发现存在间质微浸润或者微乳头,其中非浸润性种植6例,伴腹膜种植性生长11例,浸润性种植3例;80例患者中有6例复发,均为伴有间质微浸润或微乳头患者。结论卵巢交界性上皮性肿瘤病理特征主要有浆液型和粘液型两种,部分病例伴有腹膜种植、间质微浸润或者乳头微生长;间质微浸润、腹膜种植和乳头微生长均为影响BOT复发主要影响因素,需加强对存在这几类病理特征患者术后观察随访。Objective To investigate the pathological features of borderline ovarian tumor and to analyze the related influence factors for recurrence. Methods Eighty patients with BOT in our hospital from January 2011 to January 2013 were included in this study. The clinical data, diagnosis and treatment course and postoperative sample were retrospectively analyzed. The pathological features were summarized, and the related influence factors for recurrence were analyzed. Results The clinical symptoms of 80 patients with BOT were mainly abdominal mass （77.50%）. For histopathological classification, 26 patients were with serous tumor, 47 were with mucinous tumor, and 7 were with other tumor types. The pathological examination of 20 patients showed interstitial micro-infihration or mieropapillary growth, among them, 6 patients were with non-invasive implant, 11 were with peritoneal implant and 3 were with invasive implant. Among all 80 patients, 6 patients recurred and all recurrent patients were complicated with interstitial micro-infiltration or micropapillary growth. Conclusion The pathological features of borderline ovarian tumor mainly include serous tumor and mutinous tumor. Some patients are complicated with peritoneal implant, micro-infiltration or micropapillary growth, which are all major influencing factors for recurrence of BOT. Postoperative observation and follow-up should be strengthened for the patients with these pathological features.

关 键 词：卵巢交界性上皮性肿瘤 复发 病理特征 

分 类 号：R737.31[医药卫生—肿瘤]