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目的探讨卵巢浆液性和粘液性交界性肿瘤的临床病理特点。方法对钦州市第一人民医院收治的36例卵巢浆液性和粘液性交界肿瘤临床资料及病理特点进行回顾性分析。结果浆液性和黏液性交界性肿瘤缺乏特异的临床表现。Ⅰ期浆液性交界瘤17例(81%),黏液性交界瘤12例(80%)。Ⅱ期浆液性交界瘤3例(14.3%),黏液性交界瘤2例(13.3%)。Ⅲ期浆液性交界瘤1例(4.8%),黏液性交界瘤1例(6.7%)。有4例浆液性交界瘤淋巴结受累。有3例浆液性交界瘤为非浸润性种植,1例浆液性交界瘤为浸润性种植,1例黏液性交界瘤为浸润性种植。治疗以手术为主。术后随访1~10年,有1例Ⅲ期黏液性交界瘤患者术后5年死亡,其余健在。结论卵巢浆液性交界瘤预后较好,肿瘤在卵巢表面生长常有腹膜种植。
Objective To investigate the clinicopathological features of ovarian serous and mucinous borderline tumors. Methods The clinical data and pathological features of 36 ovarian serous and mucinous borderline tumors admitted to First People’s Hospital of Qinzhou City were retrospectively analyzed. Results Serous and mucinous borderline tumors lack specific clinical manifestations. Seventeen patients (81%) had stage I serous tumors and 12 (80%) had mucinous borderomas. Three serous serous tumors in stage II (14.3%) and two mucinous border tumors (13.3%). One case of serous borderline tumor (4.8%) and one case of mucinous borderline tumor (6.7%). There are 4 cases of serous lymph node involvement. There were 3 cases of serous neoplasms non-invasive planting, one case of serous border tumor was invasive and one case of mucinous borderline was invasive. The main treatment is surgery. Followed up for 1 to 10 years postoperatively, 1 patient with stage III mucinous border tumor died after 5 years and the rest were still alive. Conclusions The prognosis of ovarian serous neoplasms is good, and the tumor often has peritoneal growth on the surface of ovary.