The Treatment And Prognosis Of Borderline Ovarian Tumors

Objective:To explore the characteristics of the Border Ovarian Tumors(BOT),the related factors of prognosis and recurrence as well as the impact on reproductive function after treatment.Methods:Collect the clinical data of 270 cases of Border Ovarian Tumors who Adopts the method of surgical treatment between January 2011 and January 2016 in YI JI SHAN hospital.To analysis the age distribution of 73 patients,clinical manifestations,imaging findings,treatment method selection,postoperative pathological type of tumor,tumor pathologic stage.And follow-up of patients with postoperative adverse symptoms,gynecological examination and imaging examination results,recurrence and prognosis,menstrual changes in postoperative patients with conservative surgery and pregnancy outcome.On may affect patients with postoperative recurrence and prognosis related factors for statistical research and analysis.Results: 1.Among this 73 ovarian tumors patients the minimum age is 17 years old,the maximum age is 75 ears old and the average age is 35 ± 12.4 years old.2.most pathological histology of these 73 patients wore serous Borderline ovarian tumors(SBOT)and mucinous ovarian tumors(MBOT).3.The tumor growth area,the selection of treatment,the presence of lymph node metastasis,peritoneal planting and whether postoperative pathology showed there is micro infiltration associated with recurrence of patients,the difference was statistically significant(P < 0.05).4.whether patients with preoperative tumormarkers was higher than normal,whether postoperative adjuvant chemotherapy andwhether postoperative pathologic clues papillary structure were not associated with postoperative recurrence(P > 0.05).5.The menstruation of 33 patients who choose conservative surgery way all normal.6.For the 33 cases of conservative surgery patients,can obtain good pregnancy,the pregnancy rate can reach to 54.55%,and the choice of different surgical methods for had no effect on pregnancy outcome.7.Patient's age,tumor pathologic histology,the size of the tumor growth area,and the choice of treatment does not affect the prognosis of patients(P > 0.05).8.The clinical stage of patients,peritoneal invasive plant and non invasive and whether postoperative pathological suggest there is micro infiltration,related to the prognosis of patients(P < 0.05).Conclusion:1.For young patients who has fertility requirements can chose the operation method of preserving fertility.2.The tumor growth area,the treatment strategy,the presence of lymph node metastasis,peritoneal implantation and whether the postoperative pathology shows that there is micro infiltration,Whether the tumor rupture according to the results of intraoperative can see as relevant to the recurrence of Borderline ovarian tumor.3.The size of tumor,tumor markers,diameter of postoperative chemotherapy or not,such as postoperative pathology exists papillary has no relate to the recurrence of Borderline ovarian tumor.4.Patients' age,type of organization,tumor growth,tumor size,treatment method has nothing to do with the prognosis of Borderline ovarian tumor.5.The clinical stage of patients,peritoneal planting and micro infiltration has relevant to the prognosis of Borderline ovarian tumor.