Five years single institution retrospective analysis of the borderline ovarian tumors

Abstract

Purpose: The aim of this study was to evaluate the borderline ovarian tumor cases who were operated in our clinic. Material and Methods: The last 5 years' pathology reports, computer records and archival files of the Cukurova University Medical Faculty Gynecologic Oncology Unit were retrospectively reviewed for the borderline ovarian tumor patients. A total of 41 cases were detected and included in the study. Patients' demographic characteristics, preoperative assessments, operation and pathological features were evaluated. Results: Patients' mean age was 41 and 85% of them were premenopausal. Average of the tumor diameter was found to be 10cm in the preoperative ultrasound examination. Mean of the preoperative ca125 value was 120. While total hysterectomy + bilateral salpingo-oophorectomy was applied to 12 cases, unilateral salpingo-oophorectomy was performed in the remaining 29 patients. Lymphadenectomy was carried out in 41.5% of the patients. Serous borderline was the most common histology (70.7%). Majority of the cases was with stage I disease (90.2%). No recurrences were determined among the study population. Conclusion: Borderline ovarian tumors have a favorable prognosis and therefore, unilateral salpingo-oophorectomy can be suggested to be a safely treatment approach for patients who desire to protect their fertility. [Cukurova Med J 2016; 41(4.000): 653-657]

Keywords

• Borderline ovarian tumors
• salpingo-oophorectomy
• fertility sparing surgery