|
|
|
|
|
|
|
|
abstract
Highlights
- •Surgical approach – open or minimally invasive – should be individualized.
- •Fertility-sparing surgery is feasible in a high proportion of young patients.
- •Surgical staging is recommended for borderline ovarian tumours.
Approximately
3000 American women are diagnosed with borderline ovarian tumours
annually. Borderline tumours are similar to other types of adnexal
masses. Prognostic factors include the International Federation of
Gynecology and Obstetrics (FIGO) stage, presence of peritoneal implants,
micropapillary pattern (for serous histology), microinvasion and
intra-epithelial carcinoma (for mucinous histology). Approximately
65–70% of serous tumours and 90% of mucinous tumours are stage I, and
30% and 10%, respectively, are associated with extra-ovarian spread.
Fertility-preservation counselling is recommended for young patients.
Fertility-sparing surgery is feasible in a high proportion of women in
the reproductive age group. Surgical staging generally includes
resection of the primary borderline tumour, by either unilateral
salpingo-oophorectomy or ovarian cystectomy, cytologic washings,
omentectomy and peritoneal biopsies, and routine lymphadenectomy is not
recommended. However, because the accuracy of frozen-section examination
is lower than optimal, caution is recommended. Postoperative therapy is
recommended only for those women with serous borderline tumours and
invasive implants. Fortunately, relapse is uncommon.
0 comments :
Post a Comment
Your comments?
Note: Only a member of this blog may post a comment.