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卵巢勃勒纳瘤:单中心队列研究的临床特征与结局

Brenner tumors of the ovary: clinical features and outcomes in a single-center cohort.

作者信息

Yüksel Dilek, Kılıç Ciğdem, Çakır Caner, Kimyon Cömert Günsu, Turan Taner, Ünlübilgin Eylem, Boran Nurettin, Kayıkçıoğlu Fulya, Koç Sevgi

机构信息

Clinic of Gynecologic Oncology, University of Health Sciences Turkey, Etlik Zübeyde Hanım Women’s Health Teaching and Research Hospital, Ankara, Turkey

Clinic of Gynecology and Obstetrics, University of Health Sciences Turkey, Etlik Zübeyde Hanım Women’s Health Teaching and Research Hospital, Ankara, Turkey

出版信息

J Turk Ger Gynecol Assoc. 2022 Mar 8;23(1):22-27. doi: 10.4274/jtgga.galenos.2021.2021.0001. Epub 2022 Jan 10.

DOI:10.4274/jtgga.galenos.2021.2021.0001
PMID:35000896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8907439/
Abstract

OBJECTIVE

The purpose of the present study was to evaluate the clinical and pathological features and oncological outcomes of Brenner tumors (BT).

MATERIAL AND METHODS

Evaluation was performed on the data of 46 patients with BTs retrieved from the oncology clinic database and pathology reports between 2005 and 2020.

RESULTS

The median (range) age of the patients was 52 (22-75) years. Median (range) tumor size was 52.5 (5.0-300) mm. The tumor was benign in 37 (80.4%), borderline in one (2.2%), and malignant in the remaining eight (17.4%). Ten (21.7%) of the tumors were detected incidentally. Mixed tumor, BT plus another ovarian pathology, was found in 13 (28.2%). Recurrence developed in 2/8 (25%) with malignant BT (MBT). The stage of these patients was 3C, and both received chemotherapy after surgery.

CONCLUSION

BTs are rare and generally detected incidentally. MBTs are treated in the same way as epithelial tumors. Due to the rarity of these tumors, lymphadenectomy and optimal chemotherapy regimens are controversial issues.

摘要

目的

本研究旨在评估勃勒纳瘤(BT)的临床和病理特征以及肿瘤学结局。

材料与方法

对2005年至2020年间从肿瘤门诊数据库和病理报告中检索出的46例BT患者的数据进行评估。

结果

患者的中位(范围)年龄为52(22 - 75)岁。中位(范围)肿瘤大小为52.5(5.0 - 300)mm。37例(80.4%)肿瘤为良性,1例(2.2%)为交界性,其余8例(17.4%)为恶性。10例(21.7%)肿瘤为偶然发现。13例(28.2%)发现混合性肿瘤,即BT合并另一种卵巢病变。2/8例(25%)恶性BT(MBT)出现复发。这些患者的分期为3C期,均在手术后接受了化疗。

结论

BT罕见,通常为偶然发现。MBT的治疗方式与上皮性肿瘤相同。由于这些肿瘤罕见,淋巴结清扫术和最佳化疗方案存在争议。

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本文引用的文献

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Synchronous benign Brenner's tumor of ovary with leiomyoma and endometrial adenocarcinoma in a postmenopausal female.一名绝经后女性卵巢同步性良性勃勒纳瘤伴平滑肌瘤和子宫内膜腺癌
J Cancer Res Ther. 2019 Oct-Dec;15(6):1418-1420. doi: 10.4103/jcrt.JCRT_109_18.
2
Borderline Brenner Tumor: A Review of the Literature.交界性勃伦纳肿瘤:文献复习。
Arch Pathol Lab Med. 2019 Oct;143(10):1278-1280. doi: 10.5858/arpa.2018-0285-RS. Epub 2019 Feb 19.
3
Malignant Brenner tumor of the ovary: Review and case report.卵巢恶性布伦纳瘤:综述与病例报告
Gynecol Oncol Rep. 2017 Jul 3;22:26-31. doi: 10.1016/j.gore.2017.07.001. eCollection 2017 Nov.
4
Coexisting Brenner Tumor and Endometrial Carcinoma.并存的勃勒纳瘤和子宫内膜癌
J Midlife Health. 2017 Apr-Jun;8(2):89-91. doi: 10.4103/jmh.JMH_3_17.
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A peculiar case report of extraovarian Brenner tumor arising in the omentum.一例罕见的发生于大网膜的卵巢外布伦纳瘤病例报告。
World J Surg Oncol. 2017 Mar 28;15(1):72. doi: 10.1186/s12957-017-1135-2.
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Ovarian Cancer, Version 1.2016, NCCN Clinical Practice Guidelines in Oncology.卵巢癌临床实践指南(2016 年版).NCCN 肿瘤学临床实践指南
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