Endoscopic surgery in patients with borderline tumor of the ovary: a follow-up study of thirty-five patients.
OBJECTIVE
To study the long-term outcome of 35 patients after endoscopic surgery of ovarian borderline tumor.


METHODS
Descriptive study (Canadian Task Force classification II-2).


METHODS
Outpatient clinic.


METHODS
Thirty-five women with histologically proven ovarian borderline tumors underwent adnexal surgery by laparoscopy in an outpatient clinic.


METHODS
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.


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.


CONCLUSIONS
Provided a strict management protocol is followed, endoscopic surgery is safe and effective for the treatment of borderline tumors of the ovary.
Brosi
Nicola
N
Gynaekologische Tagesklinik Muenchen, Munich, Germany.
Deckardt
Rainer
R
D000328:Adult; D000368:Aged; D018293:Cystadenoma, Serous / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography