title: [Fertility-sparing surgery in borderline ovarian tumours].
abstract: Borderline ovarian tumours (BOTs) account for 10-15% of all ovarian tumours. They affect a younger age group than the ovarian carcinoma and have a much better prognosis. Over the last decades, the management of borderline ovarian tumors has changed from radical surgery to more conservative therapy as a result of the need for fertility-sparing surgery and the increasing use of laparoscopy. Fertility-sparing surgery is defined as surgery with complete staging, but where the uterus and at least a part of one ovary are preserved. It presents a good option in young patients with early-stage disease or in selected cases with noninvasive implants, since long-term survival does not seem to be negatively influenced by conservative surgery. This review will outline the most recent information regarding fertility sparing surgery and controversial issues of BOT.
authors.forename: B
authors.initials: B
authors.lastname: Pehlivanov
authors.forename: K
authors.initials: K
authors.lastname: Iamakov
authors.forename: H
authors.initials: H
authors.lastname: Ivancheva
mesh_terms: D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010053:Ovary / Q000473:pathology / Q000601:surgery*