Is cystectomy an option as conservative surgery for young patients with borderline ovarian tumor? A multi‐institutional retrospective study

2021 ◽  
Author(s):  
Yoshiki Ikeda ◽  
Masato Yoshihara ◽  
Nobuhisa Yoshikawa ◽  
Satoshi Tamauchi ◽  
Akira Yokoi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Ovarian Tumor ◽  
Young Patients ◽  
Conservative Surgery ◽  
Borderline Ovarian Tumor

scholarly journals Diagnostic Workup for Endometrioid Borderline Ovarian Tumors (eBOT) Requires Histopathological Evaluation of the Uterus

2021 ◽  
Author(s):  
Juliane Reichenbach ◽  
Elisa Schmoeckel ◽  
Sven Mahner ◽  
Fabian Trillsch
Keyword(s):  
Ovarian Tumor ◽  
Treatment Guidelines ◽  
Young Patients ◽  
Diagnostic Workup ◽  
Histological Evaluation ◽  
Borderline Ovarian Tumor ◽  
Primary Tumors ◽  
Uterine Curettage ◽  
Unexpected Findings ◽  
Current Guidelines

Abstract BackgroundFor young borderline ovarian tumor (BOT) patients, preservation of the uterus was incorporated as an accepted option into treatment guidelines. For the endometrioid subtype (eBOT) however, adequate histological evaluation is challenging and might be associated with synchronous endometrial disorders or misinterpreted as spread from uterine primaries. Case presentationWe report the cases of two young patients with eBOT who underwent treatment according to current guidelines. In both cases, unexpected findings of invasive uterine carcinomas were established in final histopathological evaluation.ConclusionsThis constellation highlights the challenging diagnostic workup of BOT and underlines that uterine curettage is indispensable for eBOT to exclude uterine primary tumors when fertility preservation is planned. Accordingly, this procedure needs to be included in recommendations for diagnostic workup and the potential risk should be clearly stated in treatment guidelines.

Management and Prognosis of Clear Cell Borderline Ovarian Tumor

2012 ◽  
Vol 22 (6) ◽  
pp. 993-999 ◽  
Author(s):  
Catherine Uzan ◽  
Marion Dufeu-Lefebvre ◽  
Raffaele Fauvet ◽  
Sebastien Gouy ◽  
Pierre Duvillard ◽  
...  
Keyword(s):  
Ovarian Tumor ◽  
Clear Cell ◽  
Young Patients ◽  
Good Prognosis ◽  
Stage I ◽  
Borderline Ovarian Tumor ◽  
Median Period ◽  
Uterine Curettage ◽  
Intraepithelial Carcinoma ◽  
Lost To Follow Up

BackgroundThe clear cell borderline ovarian tumor (CCBOT) of the ovary is a rare tumor accounting for less than 1% of BOT. Fewer than 25 cases have been reported in the literature (including details on clinical management and outcomes). The aim of this study was to determine the prognosis of a series of CCBOTs collected in 2 reference centers.Patients and MethodsThis was a retrospective review of patients with CCBOT treated or referred to our institutions. A centralized histological review by a reference pathologist and data on the clinical characteristics, management, and outcomes of patients were required for inclusion.ResultsTwelve patients were identified between 2000 and 2010. The median age of patients was 68 years (range, 36–83 years). Two had been treated conservatively and 9 radically (data unknown in 1). The tumor was unilateral in 11 cases. All patients had stage I disease. All cases were CCBOT with an adenofibromatous pattern. Stromal microinvasion or intraepithelial carcinoma was histologically associated in 2 and 3 cases, respectively. Four of the 12 patients had synchronous endometrial disorders (but no endometrioid carcinoma). No cases were histologically associated with endometriosis. Four patients were lost to follow-up. Among 8 other patients, after a median period of 28 months (range, 2–129 months), no recurrence had occurred (1 patient had died of another disease).ConclusionClear cell borderline ovarian tumor carries a good prognosis. All tumors are stage I; therefore, surgical staging is not necessary in most of the cases. Conservative treatment could be proposed to young patients, but uterine curettage would then be required in cases of uterine preservation.

The Case of a Serous Borderline Ovarian Tumor in a 15-Year Old Pregnant Adolescent: Sonographic Characteristics and Surgical Management

2020 ◽  
Vol 37 (S 02) ◽  
pp. S61-S65
Author(s):  
Stefano Uccella ◽  
Manuela Rosa ◽  
Elena Biletta ◽  
Raffaele Tinelli ◽  
Pier C. Zorzato ◽  
...  
Keyword(s):  
Ovarian Tumor ◽  
Transvaginal Ultrasound ◽  
First Trimester ◽  
Conservative Surgery ◽  
Termination Of Pregnancy ◽  
Pathological Examination ◽  
Borderline Ovarian Tumor ◽  
Ovarian Mass ◽  
Pregnant Adolescent ◽  
Ovarian Lesion

Objective This study aimed to describe a rare case of a serous borderline ovarian tumor (BOT) diagnosed during pregnancy in a 15-year old adolescent. Results The suspect of BOT was raised at a transvaginal ultrasound scan in early first trimester (at 5 weeks of amenorrhea), due to the presence of a moderately vascularized irregular papilla in the context of a unilocular low-level right ovarian cyst. The patient and her parents required termination of pregnancy, irrespective of the diagnosis of an ovarian lesion. After termination of pregnancy, the patient underwent laparoscopic enucleation of the ovarian mass, omentectomy, and peritoneal biopsies. No intra-abdominal spillage of the ovarian mass occurred, and the surgical specimens were put in an endobag and extracted transvaginally. Final pathological examination confirmed the diagnosis of a serous borderline ovarian tumor. The patient of free of disease after 8 months of follow-up. Conclusion Although rare, borderline ovarian tumors can be diagnosed in an adolescent during pregnancy. The combination of specific sonographic assessment and minimally invasive conservative surgery appears as a very effective approach in this type of patient. Key Points

scholarly journals 348 Conservative surgery and overall survival in young women with a diagnosis of borderline ovarian tumor

2021 ◽  
Author(s):  
M Laseca Modrego ◽  
O Arencibia Sanchez ◽  
D González García-Cano ◽  
AF Rave Ramirez ◽  
A Martín Martínez
Keyword(s):  
Overall Survival ◽  
Young Women ◽  
Ovarian Tumor ◽  
Conservative Surgery ◽  
Borderline Ovarian Tumor

Fertility after conservative surgery for recurrent borderline ovarian tumor

2015 ◽  
pp. 177-179
Author(s):  
Luk Rombauts ◽  
Sameer Jatkar ◽  
Tom Manolitsas ◽  
Nick S. Macklon ◽  
Human M. Fatemi ◽  
...  
Keyword(s):  
Ovarian Tumor ◽  
Conservative Surgery ◽  
Borderline Ovarian Tumor

scholarly journals Borderline Ovarian Tumor

2021 ◽  
Vol 5 (2) ◽  
pp. 261-266
Author(s):  
Gistin Husnul Khatimah ◽  
Andi Friadi
Keyword(s):  
High Risk ◽  
Ovarian Tumor ◽  
Screening Method ◽  
Conservative Surgery ◽  
Left Ovary ◽  
Benign Tumors ◽  
Borderline Ovarian Tumor ◽  
High Risk Patients ◽  
Platinum Based Chemotherapy ◽  
Risk Patients

Ovarian borderline tumors are a group of pathologic tumors that exhibit a higher proliferative activity when compared to benign tumors. Due to the absence of a screening method, ovarian cancer is often diagnosed when the patient already has a complaint, or at an advanced stage. A 24-year-old patient was diagnosed with cystic ovarian neoplasm, the results of physical examination and support support the possibility of malignancy. In this patient, a left salphingo-oophorectomy was chosen instead of cystectomy, this was done considering the size of the tumor mass was large enough so that the normal tissue of the ovary was estimated to be almost absent. From the results of the PA laboratory is cystadenoma multiloculare ovarii mucinosum borderline with this microinvation. The patient found massive ascites which could be classified as high risk. In high-risk stage I borderline ovarian tumors, laparotomy should include hysterectomy and bilateral salpingo-oophorectomy. However, because the patient still expects reproductive function, conservative surgery can be performed by only performing unilateral salpingo-oophorectomy, omentum (left ovary and left tube), left inguinal gland and peritoneal rinses. Additional platinum-based chemotherapy such as carboplatine for 3-6 cycles may be indicated in high-risk patients such as this case. (left ovary and left tube) omentum, left inguinal gland and peritoneal rinses. Additional platinum-based chemotherapy such as carboplatine for 3-6 cycles may be indicated in high-risk patients such as this case. (left ovary and left tube) omentum, left inguinal gland and peritoneal rinses. Additional platinum-based chemotherapy such as carboplatine for 3-6 cycles may be indicated in high-risk patients such as this case.Keywords: Borderline ovarian tumor, conservative surgery

scholarly journals Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor

2021 ◽  
Author(s):  
Bruno Ramalho de Carvalho ◽  
Geórgia Fontes Cintra ◽  
Taise Moura Franceschi ◽  
Íris de Oliveira Cabral ◽  
Leandro Santos de Araújo Resende ◽  
...  
Keyword(s):  
Fertility Preservation ◽  
Ovarian Stimulation ◽  
Ovarian Tumor ◽  
Ex Vivo ◽  
Oocyte Retrieval ◽  
Ovarian Response ◽  
Malignant Cell ◽  
Borderline Ovarian Tumor ◽  
Increased Risk

AbstractWe report a case of ultrasound-guided ex vivo oocyte retrieval for fertility preservation in a woman with bilateral borderline ovarian tumor, for whom conventional transvaginal oocyte retrieval was deemed unsafe because of the increased risk of malignant cell spillage. Ovarian stimulation with gonadotropins was performed. Surgery was scheduled according to the ovarian response to exogenous gonadotropic stimulation; oophorectomized specimens were obtained by laparoscopy, and oocyte retrieval was performed ∼ 37 hours after the ovulatory trigger. The sum of 20 ovarian follicles were aspirated, and 16 oocytes were obtained. We performed vitrification of 12 metaphase II oocytes and 3 oocytes matured in vitro. Our result emphasizes the viability of ex vivo mature oocyte retrieval after controlled ovarian stimulation for those with high risk of malignant dissemination by conventional approach.

Ultrasound in the follow-up of young patients with malignant ovarian tumors after conservative surgery

1994 ◽  
Vol 4 (1) ◽  
pp. 60-64 ◽  
Author(s):  
G. Zanetta ◽  
D. Trio ◽  
A. Lissoni ◽  
M. Pittelli ◽  
A. Di Lelio
Keyword(s):  
Young Patients ◽  
Conservative Surgery ◽  
Ovarian Tumors

Borderline Ovarian Tumor in the Pediatric and Adolescent Population: A Case Series and Literature Review

2018 ◽  
Vol 31 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Krista J. Childress ◽  
Ninad Mohan Patil ◽  
Jodi A. Muscal ◽  
Jennifer E. Dietrich ◽  
Rajkumar Venkatramani
Keyword(s):  
Literature Review ◽  
Ovarian Tumor ◽  
Case Series ◽  
Borderline Ovarian Tumor ◽  
Adolescent Population
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