abstract
Borderline ovarian tumors (BOTs) are less common than epithelial ovarian
cancers (EOCs). Low-grade EOCs (LG-EOCs) occur even
less frequently than BOTs. After primary therapy,
recurrence rates of BOTs and LG-EOCs are significantly lower and the
stage-adjusted
survival is higher than for high-grade EOCs. Thus,
determining the best management in terms of traditional ovarian cancer
staging and debulking procedures is more
challenging and has been
recently brought to question. This article
reviews the particulars
of BOTs and LG-EOCs, their similarities and
differences, and how they are best managed and treated, and emphasizes
the major
role of surgery and the
controversial role of
chemotherapy. Because these tumors disproportionately affect
younger
women,
this review addresses ovarian preservation in
circumstances when fertility or hormonal preservation is desired.