CONSERVATIVE TREATMENT OF BORDERLINE OVARIAN-TUMORS

  • 1 January 1985
    • journal article
    • research article
    • Vol. 66  (3) , 417-422
Abstract
Of 61 patients with stage IA borderline ovarian tumors, 41 were treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy and 20 were treated by a variety of more limited operations, including cystectomy with (1 patient) and without (3 patients) a contralateral ovarian wedge biopsy, and unilateral salpingo-oophorectomy with (6 patients) and without (10 patients) a contralateral wedge biopsy. In the group treated conservatively, there were 11 serous, 7 mucinous and 2 mixed seromucinous borderline tumors; in the total abdominal hysterectomy and bilateral salpingo-oophorectomy treatment group there were 26 serous, 12 mucinous and 3 mixed seromucinous borderline tumors. After a mean follow-up of 89 mo. (range 36-244 mo.), subsequent borderline neoplasms had developed in 3 patients (15%) with serous borderline tumors initially treated conservatively and in 2 patients (5%) with serous or mixed seromucinous borderline tumors initially treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy. No patient with a mucinous borderline tumor treated either conservatively or with total abdominal hysterectomy and bilateral salpingo-oophorectomy developed a subsequent neoplasm. All 61 patients in the study group are alive and free of disease, including those who developed recurrent neoplasm.