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交界性卵巢肿瘤在恶性上皮性卵巢肿瘤中占15%,75%~85%的病例在临床早期确诊,约1/3患者年龄在40岁以下;一般预后极佳,5年和10年生存率为80%~90%,但也有报道即使为1期仍有15%的患者复发甚至死亡;对交界性卵巢肿瘤的合理治疗方式仍有争议,传统术式为子宫、双附件、网膜和/或阑尾切除术,辅助性放、化疗似乎对预后无益,对年轻有生育要求的患者常采用保守性手术(囊肿切除术、一侧附件切除术加或不加对侧卵巢部分切除)已日趋首选。但目前对手术范围尚无统一标准,有关采用保守性手术治疗患者长期随访资料甚少。作者报道芬兰Kuopio大学医院1970年1月~1994年8月间收治的95例患者的诊断和治疗情
The borderline ovarian tumors account for 15% of malignant epithelial ovarian tumors, 75% to 85% of cases are diagnosed early in clinical practice, and about one third of patients are under 40 years old. The general prognosis is excellent, and the 5-year and 10-year survival rates 80% to 90%. However, it is reported that even 15% of patients recurrence or even death in one stage. There is still controversy about the rational treatment of borderline ovarian tumors. The traditional surgical procedures are uterus, double attachments, omental and / Or appendectomy, adjuvant radiotherapy and chemotherapy appear to be of no benefit to the prognosis. Conservative surgery (cyst excision, one-sided adjuvant surgery with or without partial contralateral ovarian resection) has been the preferred choice for younger patients with reproductive requirements . However, there is no uniform standard for the scope of the current operation. There is very little information on the long-term follow-up of patients undergoing conservative surgery. The authors report the diagnosis and treatment of 95 patients admitted to Kuopio University Hospital in Finland from January 1970 to August 1994