诊断名称和诊断标准:iRiopel等提出,l卵巢肠型黏液性肿瘤分为3种情况:i
(1)不典型增生性黏液性肿瘤。
(2)1不典型增生性肿瘤伴上皮内癌。
(3)1不典型增生性肿瘤伴有微浸润(<5mm)
他们认为微浸润对黏液性交界性肿癌的临床预后无明显影响,l预后主要取决于临床分期。Lee1Scully将164例卵巢肠型交界性肿瘤分成交界性瘤伴有不典型增生和交界性肿瘤伴上皮内癌,l前的复发率低,l后者复发率较高,l但低于临床同期的浸润癌。同时,lBell等认为,l交界性肿瘤应更名为不典型增生性肿瘤(atypical1proliferative1tumorsAPT)。
引自:i
Bell1KA,lSmith1Sehdev1AE,lKurman1RJ.2001.Refined1di.agnostic1criteria1for1implants1associated1with1ovarian1atypical1prolife1rative1serous1tumors(borderline)and1micropapillary1serous1carcinomas.Am1J1Surg1Pathol。25:i419~432
Lee1KR,lScully1RE.2000.Mucinous1tumors1of1the1ovary1a1Clinicopathologic1study1of11961borderline1tumors(of1intestinal1type)and1carcinomas,lincluding1and1evaluation1of1111case1with“pseudomyxoma1peritonei”.Am1J1Surg11Path01.24:i1447~1464
Riopel1MA,lRonnett1BM,lKurman1RJ.1999.Evaluation1of1diagnostic1criteria1and1behavior1of1ovarian1intestinaltype1mucinous1tumor:iatypical1proliferative1(borderline)1tumors1and1intraepichelial,lmicroinvasive.invasive1and1metastatic1carcinoma.Am1J1Surg1Pathol,l23:i617~635