Obstet Gynecol Sci.  2017 May;60(3):289-295. 10.5468/ogs.2017.60.3.289.

Oncologic and obstetric outcomes of conservative surgery for borderline ovarian tumors in women of reproductive age

• Lee SY
• Choi MC
• Kwon BR
• Jung SG
• Park H
• Joo WD
• Lee C
• Lee JH
• Lee JM

• KMID: 2378591
• DOI: http://doi.org/10.5468/ogs.2017.60.3.289

Abstract

OBJECTIVE
To compare the oncologic and obstetric outcomes in reproductive-age females with borderline ovarian tumors (BOTs) treated with cyst enucleation (CE) or unilateral salpingo-oophorectomy (USO).
METHODS
The medical records of patients with BOTs treated between 1998 and 2014 were retrospectively reviewed. The recurrence rates in the USO and CE groups were compared, and the postoperative obstetric outcomes were assessed via telephone survey.
RESULTS
Eighty-nine patients with BOTs underwent USO, and 19 underwent CE. Of these, six patients had recurrent BOTs. The recurrence rate was significantly lower in the USO group (3/89, 3.4%) than in the CE group (3/19, 15.8%) (P=0.032). All patients with recurrent disease were successfully treated with further surgery. Of the 76 patients interviewed by telephone, 71 (93.4%) resumed regular menstruation after surgery. Twenty-six of the 32 patients (81.3%) who attempted to conceive had successful pregnancies. USO (19/24, 79.2%), like CE (7/8, 87.5%), resulted in favorable pregnancy rates for patients with BOTs.
CONCLUSION
USO is a suitable fertility-preserving surgery for women with BOTs. CE is also an acceptable option for select patients.

Keyword

Borderline ovarian tumor; Fertility preservation; Pregnancy; Recurrence

MeSH Terms

Female
Fertility Preservation
Humans
Medical Records
Menstruation
Pregnancy
Pregnancy Rate
Recurrence
Retrospective Studies
Telephone

Figure

• 

  Fig. 1 Recurrence-free survival according to the type of fertility-sparing surgery. USO, unilateral salpingo-oophorectomy with or without contralateral ovarian cyst enucleation; CE, unilateral or bilateral cyst enucleation.

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