浅析卵巢上皮性交界性肿瘤的临床与病理 |
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引用本文: | 王平,彭子萍,李莉.浅析卵巢上皮性交界性肿瘤的临床与病理[J].现代医药卫生,2009,25(5):653-655. |
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作者姓名: | 王平 彭子萍 李莉 |
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作者单位: | 王平 (奉节县人民医院病理科妇产科,重庆奉节,404600); 彭子萍 (奉节县人民医院病理科妇产科,重庆奉节,404600); 李莉 (奉节县人民医院病理科妇产科,重庆奉节,404600); |
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摘 要: | 目的:探讨卵巢上皮交界性肿瘤的预后及病理相关因素。方法:回顾性分析我院1996年1月~2007年12月收治的16例卵巢上皮交界性肿瘤的临床资料。结果:16例卵巢上皮交界性肿瘤的组织类型:黏液性5例(31%),浆液性11例(69%)。临床分期Ⅰ期12例(75%),Ⅱ期2例(12.5%),Ⅲ期2例(12.5%),Ⅳ期0例。患者均行手术治疗、单纯手术5年存活率92.3%,6例手术治疗后给予环磷酰胺、阿霉素、顺铂(CAP)方案为主的化学药物治疗5年存活83.3%(P〈0.01)。Ⅰ期12例中9例行保守性手术,3例行根治性手术,5年存活率分别为91%和66.7%(P〈0.01)。结论:卵巢上皮交界性肿瘤手术为主要治疗手段,应适当辅助化疗。
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关 键 词: | 卵巢上皮交界性肿瘤 肿瘤浸润 病理诊断 预后 |
A clinicopathogical analysis of epithelial borderline tumor of ovary |
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Institution: | WANG Ping,PENG Zi-ping,Ll Li (Department of Pathology,Fengjie County People 's Hospital, Chongqing 404600,China) |
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Abstract: | Objecitive:To study the clinicopathological factors related to prognosis in epithelial borderline tumor of ovary (EBTO). Methods: 16 cases of EBTO from January1996 to December 2007 were retrospectively analyzed. Results :The histological types among 16 cases were mucous 5(31%),serous 11(69%). The clinical stages: 12(75%)cases of stage Ⅰ ,2(12.5%)cases of stage Ⅱ ,2(12.5%)cases of stage Ⅲ,0 case of stageIV. All the patients were received surgery. The 5-year survival rates were 92.3% for simple operation and 83.3% for 6 cases with chemotherapy of cyclophosphamide,adriacin and cisplatin complexes after operation (P〈0.01). The 5-year survival rates were 91% for 9 cases with conservative operation and 66.7% for 6 cases of radical operation among 12 cases of stage I . Conclusion: Surgery is the main method to treat EBTO. The postoperative chemotherapy can improve the prognosis of EBTO. |
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Keywords: | Epithehal borderline tumor of ovary Tumor infiltration Pathological diagnosis Prognosis |
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