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  • Title: Endoscopic surgery in patients with borderline tumor of the ovary: a follow-up study of thirty-five patients.
    Author: Brosi N, Deckardt R.
    Journal: J Minim Invasive Gynecol; 2007; 14(5):606-9. PubMed ID: 17848322.
    Abstract:
    STUDY OBJECTIVE: To study the long-term outcome of 35 patients after endoscopic surgery of ovarian borderline tumor. DESIGN: Descriptive study (Canadian Task Force classification II-2). SETTING: Outpatient clinic. PATIENTS: Thirty-five women with histologically proven ovarian borderline tumors underwent adnexal surgery by laparoscopy in an outpatient clinic. INTERVENTIONS: We report a series of 41 patients treated by endoscopic surgery for borderline tumors of the ovary, 35 of whom were followed up for 2 to 12 years after surgery. MEASUREMENTS AND MAIN RESULTS: Of a total of 3138 patients referred for endoscopic surgery to treat ovarian tumors, 7 were found to have cancer, and 41 were found to have borderline tumors. The borderline tumor was diagnosed before surgery by vaginal ultrasonography in 45.7% of patients, during surgery in an additional 22.9%, but only by postoperative histologic study in 31.4% of patients. There were no intraoperative or postoperative complications in the patients with borderline tumor, and all have remained healthy for the period of their follow-up. CONCLUSION: Provided a strict management protocol is followed, endoscopic surgery is safe and effective for the treatment of borderline tumors of the ovary.
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