[Borderline tumors : diagnosis and management : report of 10 cases].
BACKGROUND
Since their discovery in 1929 by Taylor border tumors of the ovary, also known as borderline tumor (TOLM) inspired confusion, apprehension and disagreement.


OBJECTIVE
Identify epidemiological, clinical and therapeutic particularities of borderline tumors of the ovary. -Study the different surgical approaches for borderline tumors of the ovary. -Assess the value of frozen section in this pathology.


METHODS
This is a retrospective study of 10 patients operated for borderline tumor of the ovary and collected at the department C of the center of maternity and newborn in Tunis.


RESULTS
The average age of our patients was 35.6 years Pelvic pain was the main circumstance of discovery, it accounted for 50% of the cases. The discovery was fortuitous in 40% of the cases Ultrasound has shown purely cystic tumors in 70% of cases and solido-cystic ones in 30% of cases. There was a tumor in the controlateral ovary in only one case. The surgery was conservative whenever possible. Histological examination concluded to 6 cases of serous tumor and 4 cases of mucinous ones. Among the 10 patients, 8 were classified as stage Ia, one stage Ib and one stage Ic. The frozen section was performed in 8 cases


CONCLUSIONS
The diagnosis of borderlines tumors of the ovary remains difficult. The laparoscopy is of great use in the management of this pathology. Histological examination is an interesting addition and the conservative treatment is the more appropriate treatment.
Service de gynécologie-obstétrique C, centre de maternité et néonatologie, Tunis.
Dorra Zeghal
DZ
Souki
Haifa
H
Bouchahda
Walid
W
Limem
Sami
S
Mahjoub
Mohamed Aymen
MA
Zakraoui
Rim
R
Ben Hmid
Faouzia
F
Zouari
D000328:Adult; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D018297:Neoplasms, Cystic, Mucinous, and Serous / Q000175:diagnosis* / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D017699:Pelvic Pain / Q000209:etiology; D012189:Retrospective Studies