229例卵巢粘液性交界性肿瘤的临床分析

发布时间：2018-01-14 18:10

  本文关键词：229例卵巢粘液性交界性肿瘤的临床分析　出处：《浙江大学》2015年硕士论文　论文类型：学位论文

  更多相关文章： 卵巢粘液性交界性肿瘤 临床病理特点 保留生育功能 复发

【摘要】：目的： 通过回顾性分析浙江大学医学院附属妇产科医院229例卵巢粘液性交界性肿瘤(Mucinous borderline ovarian tumors, MBOTs)患者的病例资料,结合文献探讨卵巢粘液性交界性肿瘤的临床病理特点。 资料与方法： 收集浙江大学医学院附属妇产科医院2000年1月至2013年12月收治的经病理确诊的229例卵巢粘液性交界性肿瘤患者,通过复习所有患者的临床资料来探讨卵巢粘液性交界性肿瘤的临床病理特点。 结果： 229例卵巢粘液性交界性肿瘤患者中位年龄为31岁,介于10-83岁之间；未生育者98例(42.8%)。229例患者中,仅75例(32.8%)进行了全面分期手术,FIGO分期Ⅰ期72例(96.0%),Ⅱ期1例(1.3%),Ⅲ期2例(2.7%),无Ⅳ期患者。22例术中未予送快速冰冻病理,冰冻诊断与石蜡诊断一致者为131/207(63.3%),过低诊断率为35.3%(73/207),过高诊断率为1.4%(3/207)。229例患者均行手术治疗,其中160例行保留生育功能手术(即保留子宫及对侧正常卵巢),术后4例复发；余69例则行子宫及双附件切除术±大网膜(部分)切除±阑尾切除±盆腔淋巴结活检/切除术,术后2例复发。其中76例术中同时行淋巴结活检/切除术,病理结果淋巴结均阴性。 结论： MBOTs好发于生育年龄妇女,期别早,总体预后较好,对早期、年轻、希望保留生育功能的患者可行保留生育功能手术。
[Abstract]:Objective: A retrospective analysis of 229 cases of ovarian mucinous borderline tumors in Department of Obstetrics and Gynecology affiliated to Zhejiang University School of Medicine was made. Mucinous borderline ovarian tumors. The clinical and pathological features of ovarian mucinous borderline tumor were studied. Information and methods: From January 2000 to December 2013, 229 cases of ovarian mucinous borderline tumors were collected from the affiliated Obstetrics and Gynecology Hospital of Zhejiang University Medical College. The clinicopathological features of ovarian mucinous borderline tumors were studied by reviewing the clinical data of all patients. Results: The median age of 229 patients with ovarian mucinous borderline tumor was 31 years, between 10-83 years old. Of the 98 cases (42. 8%), only 75 cases (32. 8%) underwent comprehensive stage operation and Figo stage I (72 cases). In the second stage, 1 case was involved in stage 鈪，

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