Ivanov S, Kŭrlov T, Ivanov S
Akush Ginekol (Sofiia). 2000;39(1):39-41.
We tried to evaluate the treatment of borderline ovarian tumours for the period of 1987 till 1999. We analyzed 62 cases as the age varied from 16 till 82 years of age, median 51.2. To most of them was performed surgical treatment, and to some of them immediately second look operation. In 38% of the women under 35 years of age there were, recurrences, as for the all group of border line tumours it was 19% recurrences. The recurrences appeared lately usually after the fifth year. We examined the time of operation, the stage, the histological type, the number of pregnancies, number of recurrences, and the disease free interval. The results showed that the conservative surgery in young women leads to high niveau of pregnancies, and also high level of recurrences. The young patients with unilateral disease stage IA were treated with conservative surgery, with intraoperative staging, without adjuvant chemotherapy. The menopausal women were treated as malignant tumours/Total hysterectomy bilateral salpingo-oophorectomy, omentectomy and appendectomy/ We show the need of active follow up of the treated women especially the young ones who are treated conservatively.
我们试图评估1987年至1999年期间交界性卵巢肿瘤的治疗情况。我们分析了62例病例，年龄从16岁至82岁不等，中位数为51.2岁。大多数患者接受了手术治疗，部分患者立即进行了二次探查手术。35岁以下女性中有38%出现复发，而所有交界性肿瘤组的复发率为19%。复发通常在较晚时候出现，通常在第五年之后。我们研究了手术时间、分期、组织学类型、妊娠次数、复发次数和无病生存期。结果表明，年轻女性的保守手术导致较高的妊娠率，也导致较高的复发率。单侧疾病IA期的年轻患者接受了保守手术、术中分期，未进行辅助化疗。绝经后女性则按恶性肿瘤进行治疗/全子宫双侧输卵管卵巢切除术、大网膜切除术和阑尾切除术/我们表明，需要对接受治疗的女性，尤其是接受保守治疗的年轻女性进行积极随访。
