卵巢交界性肿瘤的临床特征及诊治进展

摘要

The biological behavior of borderline ovarian tumors( BOTs)is between benign neoplasm and malignant tumor,with nuclear atypia,fission phase,but without the interstitial infiltration. Surgical removal is the main manage-ment. Clinically,BOTs occur in women in the reproduction age group. Due to the absence of specific preoperative cri-teria,diagnosis is often made during surgery,and majority of the young woman patients want to preserve their child bearing potential. Thus,a lot of debate exists on the early diagnosis,conservative surgery,postoperative chemotherapy and fertility out-come. The article will review the clinical characteristics,diagnosis and treatment of BOTs.%交界性卵巢肿瘤生物学行为介于良性与恶性肿瘤之间，具有核异型性、核分裂象，但无间质浸润。手术切除是治疗交界性卵巢肿瘤的主要方法，但由于多发生于生育年龄妇女，且诊断常发生在术中，缺乏确切的术前诊断标准，而且多数患者都要求保留生育能力，因此交界性卵巢肿瘤的早期诊断、保守性治疗、术后化疗、术后生育功能都存在着争议。本文对近年来卵巢交界性肿瘤临床特征、诊断及治疗进行综述。