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邊緣性卵巢癌的復發因子

Clinical Risk Factor for Recurrence of Ovarian Borderline Tumors

摘要


邊緣性卵巢癌多發生在較年輕婦女,預後多屬良好,但少部分患者仍有復發的情形。其復發的危險因子包括:已屬晚期病灶、有細小乳突狀漿液性癌、已有微小侵犯、有侵犯性植入物、採保守性治療、單套染色體腫瘤細胞、高齡、有殘留病灶、術前CA125值高等。由於復發的時間很晚,因此需要長期縝密追蹤。

並列摘要


Borderline ovarian tumor is an epithelial ovarian tumor that occurs in patients younger than those with an epithelial ovarian cancer. In contrast with invasive epithelial ovarian cancer, borderline ovarian tumor presents as an excellent survival rate and a characteristic low incidence of recurrence. However, there are some risk factors for recurrence including advanced stage, micropapillary histology, microinvasion, invasive implants, conservative treatment, aneuploid DNA ploidy, old age, suboptimal debulking, and an elevated preoperative CA125 level in women with borderline ovarian tumor. Long term and close follow up of these patients is required because recurrences can develop years after primary operation.

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