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[目的]探讨妊娠合并卵巢交界性肿瘤(BOT)的临床特点、病理特征、诊断及预后等。[方法]对南京市浦口区中心医院2007年1月至2012年12月收治的4例BOT患者的临床表现、手术方式、组织病理结果、随访等进行回顾分析。[结果]本组患者占同期妊娠合并卵巢肿瘤患者的6.4%;临床表现主要为月经不规则、痛经和无痛性肿块;诊断以术后确诊为主;治疗方法为肿瘤剔除保留生育功能;随访4例均存活无复发。[结论]BOT患者术前诊断困难,诊断不全,易造成漏诊,应引起临床警惕。
[Objective] To investigate the clinical features, pathological features, diagnosis and prognosis of pregnancy complicated with borderline ovarian tumor (BOT). [Methods] The clinical manifestations, surgical methods, histopathological findings and follow-up of 4 BOT patients admitted from January 2007 to December 2012 in Pukou Central Hospital of Nanjing were retrospectively analyzed. [Results] This group of patients accounted for 6.4% of patients with synchronous pregnancy ovarian tumors in the same period; the main clinical manifestations were irregular menstruation, dysmenorrhea and painless mass; the diagnosis was mainly diagnosed after operation; the treatment method was to retain fertility by tumor rejection; All 4 patients survived without recurrence. [Conclusion] The preoperative diagnosis of BOT patients is difficult and the diagnosis is incomplete, which can easily lead to missed diagnosis and should arouse clinical vigilance.