title: Management of borderline ovarian tumours: a comprehensive review of the literature.
abstract: Borderline ovarian tumours differ from epithelial ovarian cancer by their low incidence, frequent association with infertility, low association with mutations in BCRA genes, different percentages of the most common histological types, early stage diagnosis, and high survival rate, even when associated with peritoneal involvement. They occur in younger women, which is why one of the objectives in these patients will be the preservation of fertility. The management of these tumours has been widely discussed and still continues to be controversial. The latest findings underscore the importance of full staging in both radical and conservative surgery, to choose the most comprehensive treatment and obtain an accurate prognosis. One of the objectives of this article shall be the in-depth review of the indications, benefits, and disadvantages of each type of surgery, as well as the usefulness of the medical treatment. In addition, the article aims to review follow-up guidelines and to clarify the main prognostic factors that affect recurrence and survival of these patients.
authors.affiliation: Gynaecological Oncology Unit, La Paz University Hospital, Madrid, Spain.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Abascal-Saiz
authors.affiliation: Gynaecological Oncology Unit, La Paz University Hospital, Madrid, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Sotillo-Mallo
authors.affiliation: Gynaecological Oncology Unit, La Paz University Hospital, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: de Santiago
authors.affiliation: Gynaecological Oncology Unit, La Paz University Hospital, Madrid, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Zapardiel
keywords: borderline ovarian tumour; fertility-sparing surgery; management