Skip Navigation LinksHome > May 2011 - Volume 21 - Issue 4 > Fertility-Sparing Surgery for Borderline Ovarian Tumors: Onc...
International Journal of Gynecological Cancer:
doi: 10.1097/IGC.0b013e3182129842
Ovarian Cancer

Fertility-Sparing Surgery for Borderline Ovarian Tumors: Oncologic Safety and Reproductive Outcomes

Song, Taejong MD; Choi, Chel Hun MD; Park, Hwang Shin MD; Kim, Min-Kyu MD; Lee, Yoo-Young MD; Kim, Tae-Joong MD; Lee, Jeong-Won MD; Bae, Duk-Soo MD, PhD; Kim, Byoung-Gie MD, PhD

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Abstract

Introduction: To evaluate the oncological safety and reproductive outcomes of patients with borderline ovarian tumors (BOTs) treated with fertility-sparing surgery.

Methods: Patients with BOTs who underwent radical or fertility-sparing surgery between 1997 and 2009 were identified from an institutional database. The recurrence rates were compared between the 2 surgery groups. To compare the reproductive outcomes, all patients who underwent fertility-sparing surgery were interviewed by telephone.

Results: One hundred forty-three patients underwent radical surgery, and 155 patients underwent fertility-sparing surgery. After a median interval of 38 months from the initial surgery (range, 10-77 months), 19 patients had a recurrence. The recurrence rate was similar in the radical and fertility-sparing surgery groups (4.9% and 7.7%, respectively; P = 0.280). In the fertility-sparing surgery group, however, the main site of recurrence was the remaining ovary that was successfully salvaged with a second round of fertility-sparing surgery. Of 51 patients who attempted to conceive, 45 patients (88.2%) were successful and resulted in 54 term deliveries.

Conclusions: Fertility-sparing surgery for BOTs is safe and can result in future pregnancies, suggesting that such surgery should be considered for young patients who desire preservation of fertility.

Copyright © 2011 by IGCS and ESGO

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