Laparoscopic management of borderline ovarian tumors: results of a French multicenter study

Abstract

Laparoscopic management of borderline ovarian tumors is associated with a higher rate of cyst rupture and incomplete staging. Recurrence was more frequent after conservative treatment. Whatever the surgical route, the rate of complete initial staging was low, emphasizing the need to respect treatment guidelines for borderline ovarian tumors.

Confidence of expert ultrasound operators in making a diagnosis of adnexal tumor: effect on diagnostic accuracy and interobserver agreement

“…Using this approach, some borderline ovarian tumors would receive similar treatment to benign lesions with a risk that their content would sometimes be spilled during minimally invasive surgery and that they would not be fully staged. There is no evidence, however, that this would have an adverse effect on long-term outcomes and survival rates 15 . Borderline ovarian tumors tend to occur in young women in whom preservation of fertility is of utmost importance 16 .…”

Impact of serum tumor marker determination on the management of women with borderline ovarian tumors: Multivariate analysis of a French multicentre study

“…However, one third of borderline ovarian tumors are diagnosed in women younger than 40 years, and more than 80% of cases are detected early in the disease course, raising issues of fertility-sparing surgery, laparoscopic management, and restaging operations (6)(7)(8)(9)(10)(11)(12)(13)(14)(15).…”

Use of ultrasound pattern recognition by expert operators to identify borderline ovarian tumors: a study of diagnostic performance and interobserver agreement

“…There is some evidence in the literature that spillage of invasive epithelial ovarian tumors at surgery may adversely affect patients' long-term outcomes 15 . The prognosis of borderline tumors, particularly those of gastrointestinal type, is very good, and there are no strong data to suggest that the spillage of cyst fluid decreases survival rates 16 , although some studies have shown an increased risk of recurrence 17,18 . Nevertheless, it would be prudent to take measures to minimize the risk of spillage until more evidence is available about its effect on women's health.…”