Recurrent borderline ovarian tumours after conservative management in women wishing to retain their fertility.
OBJECTIVE
To evaluate the rate of recurrence after conservative treatment of Stage 1 borderline ovarian tumors.


METHODS
Retrospective case note review of all women with borderline ovarian tumours diagnosed at Aberdeen, U.K. and loannina, Greece between 1981-1993. Outcome measures comprised initial surgery, stage of disease, histological type, pregnancy rate, recurrence rate and disease-free interval.


RESULTS
Conservative surgery for borderline tumours in young women permitted high conception rates. Recurrence of tumour was high in this group, 71%, and presented late.


CONCLUSIONS
Prolonged intensive follow-up is required for women treated conservatively for borderline malignant ovarian tumours.
Papadimitriou
D S
DS
Department of Obstetrics and Gynaecology, University Hospital of Ioannina, Greece.
Martin-Hirsch
P
P
Kitchener
H C
HC
Lolis
D E
DE
Dalkalitsis
N
N
Paraskevaidis
E
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005298:Fertility; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010051:Ovarian Neoplasms / Q000601:surgery*; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies