| Objective To investigate the status and recurrence of young borderline ovarian tumor patients after fertility preservation therapy,at the same time,further analysis to retain reproductive function in patients and to analyze the pregnant outcimes and menstrual recovery after fertility preservation therapy.Methods 49 patients who diagnosis of borderline ovarian tumor was colleted in Department of Obsteteics and Gynecology,The one Hospital from Jun.2010 to May.2015 with not elder than 40-year-old,C linical case data and the follow-up was statistical analysed.Result Age 40 years old or less of 53 patients had 3 patients lost to follow-up,with 1 case no retain reproductive surgery,included in the st udy of 49 patients with complete information,the average age was 28.1 + /-5.3 years old.The FIGO Ⅰ 39 cases(79.59%).The most is Histopathology with serous and mucous sex(48 cases,97.96%).Preserving fertility function operation is 49 patients,with an average follow-up of 44.5 months(16-76 month),5 cases(10.20%),recurrence after menstruation recovery 12 cases(24.49%),postoperative pregnancy 10 cases(20.41%).FIGO staging of tumor,histological type,operation way and the statistical correlation between tumor recurrence(P < 0.05);The preoperative CA125 level,with or without chemotherapy,involving bilateral ovaries,menstrual recovery and whether there is no statistical correlation between pregnancy and recurrence,which has nothing to do with recurrence.Conclusion Border oarian tumor onset younger age,found that don’t earlier period,the prognosis is good,but there is the risk of recurrence.Risk factors including tumor FIGO staging,histological type,operation method.Preserving fertility function surgery is feasible,but need to closely followed up for a long time,generally not recommended chemotherapy,postoperative postoperative pregnancy,but should choose the appropriate time to pregnancy,after being processed according to the individual circumstances. |
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