【摘要】 分析１９６５～１９９２年卵巢交界性上皮性肿瘤２０例的临床资料及随访结果。其中浆液性９例，粘液性ＩＩ例。临床Ｉ期１５例，ＩＩ期３例，ＩＩＩ期２例。１２例行全子宫及单侧或双侧附件切除，其中２例死于肿瘤复发。８例行单侧附件切除，无死于肿瘤复发者。１４例进行术后化疗，现１２例仍存活，占９２．３％；死亡２例，１例为ＩＩＩ期患者，另１例死于其他疾病。未化疗者６例，其中３例Ｉａ期患者健在；死亡１例，为Ｉｂ期。结果提不：预后与手术方式关系不密切，而与分期有关；对具有高危因素，如外生乳头、肿瘤破裂、腹水等患者，以进行化疗为宜。更多还原

【Abstract】 wenty patients with ovarian borderline epithelialtumors were analysed.The tumor in 9 patients wereserous and in 11 patients mucinous in nature type.15cases were classified as of stage I,3 cases of stage IIand 2 cases of stage III, according to the FIGOstaging.All pathologic slides were re-reviewed to con-firm the diagnosis and no patients were lost tofollow-up. Total hysterectomy and unilateral or bilateralsalpingo-oophorectomy were done in 12 patients,among whom,2 died of tumor recurrenees.Unilateraladnexectomy was done in 8 patIents, and none died oftumor recurrence. Fourteen patients received postoperative chemotherapy 1～8 courses with PACregimen,12 patients were alive up to the present. Sixpatients did not receive chemotherapy and amongthese 3 with stage Ia were alive and 1 with stage Ibdied of tumor recurrenccs.The survival rate of stage 1was 92.3%. Our results indicated that the prognosis was close-ly related to clinical staging.We suggested that pa-tients of stage 1 who wish to preserve childbearingfunction may be treated with unilateral salpingo-oophorectomy,and chemotherapy should be given tothe patients with high risk factors、Because of the indo-lent nature of these tumors,long-term follow-up atleast 10 years is nccessary.更多还原