卵巢交界性肿瘤的处理

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虽然卵巢交界性肿瘤已被公认为一独立的肿瘤类型,但至今仍未制定相应独立的治疗方案。目前的治疗方案多主张依据肿瘤的特点、临床分期,以及患者对生育要求行不同方式的手术治疗,必要者辅助化疗,执行严格的随访制度,复发者可再次手术。1 手术治疗1.1 根治性手术 临床分期Ⅰ期及Ⅱ期以上,绝经后或无生育要求的卵巢交界性肿瘤患者,多主张行根治性手术治疗。根治性手术为全子宫与双侧附件切除术,以及卵巢以外病灶切除(包括大网膜切除、腹腔冲洗及腹膜活检、盆腔淋巴结切 Although borderline ovarian tumor has been recognized as an independent tumor type, but so far there is no corresponding independent treatment plan. The current treatment plan and more advocates based on the characteristics of the tumor, clinical stage, and patients with different requirements for reproductive surgery surgical treatment, the need for adjuvant chemotherapy, the implementation of strict follow-up system, relapse surgery can be repeated. 1 Surgical treatment 1.1 Radical surgery clinical stage Ⅰ and Ⅱ or more, postmenopausal or without fertility requirements of borderline ovarian cancer patients, and more advocate of radical surgery. Radical surgery for the whole uterus and bilateral attachment resection, and removal of lesions outside the ovary (including omental resection, peritoneal lavage and peritoneal biopsy, pelvic lymph node dissection
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