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

2017 ◽  
Vol 60 (3) ◽  
pp. 289 ◽  
Author(s):  
Se Yun Lee ◽  
Min Chul Choi ◽  
Bo Ram Kwon ◽  
Sang Geun Jung ◽  
Hyun Park ◽  
...  
Keyword(s):  
Conservative Surgery ◽  
Ovarian Tumors ◽  
Reproductive Age ◽  
Obstetric Outcomes ◽  
Women Of Reproductive Age ◽  
Borderline Ovarian Tumors

Evaluation of concomitant gynecological pathology in group of patients of reproductive age with tumors and tumor formations

2020 ◽  
pp. 10-14
Author(s):  
N. V. Spiridonova ◽  
A. A. Demura ◽  
V. Yu. Schukin
Keyword(s):  
Diagnostic Errors ◽  
Ovarian Tumors ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Predisposing Factor ◽  
Ovarian Tumours ◽  
Preoperative Diagnostic ◽  
Neoplastic Process ◽  
History Of ◽  
The Moment

According to modern literature, the frequency of preoperative diagnostic errors for tumour-like formations is 30.9–45.6%, for malignant ovarian tumors is 25.0–51.0%. The complexity of this situation is asymptomatic tumor in the ovaries and failure to identify a neoplastic process, which is especially important for young women, as well as ease the transition of tumors from one category to another (evolution of the tumor) and the source of the aggressive behavior of the tumor. The purpose of our study was to evaluate the history of concomitant gynecological pathology in a group of patients of reproductive age with ovarian tumors and tumoroid formations, as a predisposing factor for the development of neoplastic process in the ovaries. In our work, we collected and processed complaints and data of obstetric and gynecological anamnesis of 168 patients of reproductive age (18–40 years), operated on the basis of the Department of oncogynecology for tumors and ovarian tumours in the Samara Regional Clinical Oncology Dispensary from 2012 to 2015. We can conclude that since the prognosis of neoplastic process in the ovaries is generally good with timely detection and this disease occurs mainly in women of reproductive age, doctors need to know that when assessing the parity and the presence of gynecological pathology at the moment or in anamnesis, it is not possible to identify alarming risk factors for the development of cancer in the ovaries.

Fertility and recurrence results of conservative surgery for borderline ovarian tumors

2005 ◽  
Vol 97 (3) ◽  
pp. 845-851 ◽  
Author(s):  
Nurettin Boran ◽  
Aylin Pelin Cil ◽  
Gokhan Tulunay ◽  
Esmen Ozturkoglu ◽  
Sevgi Koc ◽  
...  
Keyword(s):  
Conservative Surgery ◽  
Ovarian Tumors ◽  
Borderline Ovarian Tumors

scholarly journals Ultrasonographic diagnosis and longitudinal follow-up of recurrences after conservative surgery for borderline ovarian tumors

2016 ◽  
Vol 215 (6) ◽  
pp. 756.e1-756.e9 ◽  
Author(s):  
Dorella Franchi ◽  
Sara Boveri ◽  
Davide Radice ◽  
Rosalba Portuesi ◽  
Vanna Zanagnolo ◽  
...  
Keyword(s):  
Conservative Surgery ◽  
Ovarian Tumors ◽  
Ultrasonographic Diagnosis ◽  
Borderline Ovarian Tumors

Borderline ovarian tumors: Long-term survival and preservation of fertility.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e15508-e15508
Author(s):  
Natasha Gercovich ◽  
Carlos Garcia Gerardi ◽  
Ernesto Gil Deza ◽  
Eduardo L. Morgenfeld ◽  
Edgardo G. J. Rivarola ◽  
...  
Keyword(s):  
Young Patients ◽  
Conservative Surgery ◽  
Ovarian Tumors ◽  
Population Characteristics ◽  
Borderline Tumor ◽  
Term Survival ◽  
Borderline Tumors ◽  
Borderline Ovarian Tumors ◽  
The Usa

e15508 Background: Borderline ovarian tumors, also called low-malignancy potential tumors, are infrequent tumors present predominantly in pre-menopause women. Their evolution after surgical treatment is generally very good. The main objective of this paper is to show the evolution of a group of borderline tumors treated at our institution. Methods: Between January 1, 2000 and January 1, 2010, 36 patients diagnosed with ovarian borderline tumors were examined by two independent pathologists, according to the guidelines established by the USA Association of Directors of Anatomic and Surgical Pathology. These patients were followed at IOHM and comprise this paper’s study group. Results: Population Characteristics: Mean Age: 41 years (Range: 20-85). Affected Ovary (Right: 17 pts; Left: 14 pts; Both: 5 pts). Pathology: Mucinous (17 pts), Serous (16 pts), Clear, Brenner and Endometroid Cells (1 pt each). Stages: IA (24 pts), IB (5 pts), IC (2pts), IIIA (4 pts), IIIC (1 pt). Five patients presented non-invasive peritoneal implants and three presented positive peritoneal liquid. All patients were surgically treated: 28 with total anexohisterectomy (TAH) and 8 with unilateral ooforectomy. No patient was given any chemotherapy or radiotherapy treatment. Four patients did not attend follow-up consultations and were lost after 4, 6, 12 and 29 months with no evidence of disease (NED). Thirty-two patients were followed bi-annually during the first five years and annually thereafter. One patient became pregnant after the surgery. All patients are alive and NED with an average follow up of 50 months (range: 29-133). Conclusions: 1) Although half the cases in the study were under 35 years old, there were 12 tumors present in patients over 50 years of age and 1 borderline tumor present in an 85 year old patient. 2) Surgically treated ovarian borderline tumors have a high chance of being curable without the need of chemotherapy or radiotherapy. 3) Conservative surgery in young patients allows a conservation of fertility, provided they are subject to an adequate follow-up.

Outcome and Reproductive Function After Conservative Surgery for Borderline Ovarian Tumors

2000 ◽  
Vol 55 (7) ◽  
pp. 430-431
Author(s):  
Robert T. Morris ◽  
David M. Gershenson ◽  
Elvio G. Silva ◽  
Michele Follen ◽  
Mitchell Morris ◽  
...  
Keyword(s):  
Reproductive Function ◽  
Conservative Surgery ◽  
Ovarian Tumors ◽  
Borderline Ovarian Tumors

Pregnancy Outcomes After Conservative Surgical Management of Ovarian Neoplasms Treated at a Single Institution

2010 ◽  
Vol 20 (6) ◽  
pp. 926-931 ◽  
Author(s):  
Gina M. Mantia Smaldone ◽  
Scott D. Richard ◽  
Robert P. Edwards
Keyword(s):  
Germ Cell ◽  
Surgical Management ◽  
Pregnancy Outcomes ◽  
Ovarian Neoplasms ◽  
Early Stage ◽  
Conservative Surgery ◽  
Reproductive Age ◽  
Oncologic Outcomes ◽  
Obstetric Outcomes ◽  
Reproductive Age Women

Hypothesis:Conservative surgical management of ovarian neoplasms can result in favorable oncologic and obstetric outcomes.Methods:All reproductive-age women (18-45 years old) with stage IA to stage IIC ovarian neoplasms (N = 161) were retrospectively identified from a single institution's tumor registry between 1990 and 2007. Operative, pathological, outpatient, and delivery records were reviewed to confirm histological findings, stage, extent of surgical resection, adjuvant treatment, oncologic outcomes, and pregnancy outcomes.Results:Women who underwent conservative surgical management for ovarian neoplasms (n = 61 [37.9%]) were identified, including those with low malignant potential (LMP, n = 36), epithelial (n = 12), germ cell (n = 6), and sex cord (n = 7) tumors. Thirteen women conceived 23 pregnancies, producing a pregnancy rate of 25.0% overall and of 68.4% for those attempting conception. Women with LMP tumors conceived most pregnancies and had the highest number of antenatal complications. Of those receiving adjuvant chemotherapy (n = 8), 12.5% were able to conceive after their treatment and with no reported congenital anomalies. Pregnancy after a diagnosis of ovarian neoplasm did not impact disease recurrence (0% vs 7.7%, P = 0.56) or survival (100% vs 100%, P = 1.0).Conclusions:Conservative surgery may be an acceptable option for reproductive-age women with early-stage ovarian neoplasms. We report pregnancy and oncologic outcomes for a cohort of women managed conservatively for LMP, epithelial, germ cell, and sex cord ovarian neoplasms.

scholarly journals Oncologic and obstetric outcomes of fertility-sparing surgery for borderline ovarian tumors in women of reproductive age: a retrospective cohort study

2020 ◽  
Author(s):  
Rui Sun ◽  
Chengyan Luo ◽  
Yi Jiang ◽  
Shulin Zhou ◽  
Yicong Wan ◽  
...  
Keyword(s):  
Live Birth ◽  
Odds Ratio ◽  
Disease Free Survival ◽  
Ovarian Tumors ◽  
Obstetric Outcomes ◽  
Free Survival ◽  
Borderline Ovarian Tumors ◽  
Kaplan Meier ◽  
Fertility Sparing ◽  
Disease Free

Abstract Objective To retrospectively evaluate the oncologic and obstetric outcomes of fertility-sparing surgery (FSS) for borderline ovarian tumors(BOT). Methods 132 patients with borderline ovarian tumors were divided into the incompletely staging surgery (ISS) group and the completely staging surgery (CSS) group. The overall survival and disease-free survival curves were determined using the Kaplan–Meier method. The Cox proportional hazards method was used to assess the association between the variables and live birth and multivariate analysis to identify the independent associations. Results Chi-square and Kaplan-Meier analyses showed no significant differences in overall survival between the two groups (p = 1.000 and p = 0.716, respectively). The CSS group had fewer relapses and longer disease-free survival than ISS (p = 0.003). There was no statistical difference in live birth rate between two groups (crude odds ratio = 0.885, 95%CI 0.411–1.903, p = 0.755; adjusted odds ratio = 0.848, 95%CI 0.366–1.963, p = 0.700). Age was the only independent risk factor for live birth (adjusted odds ratio = 0.902, 95%CI 0.823–0.988, p = 0.027). Mean live birth intervals after FSS was 31.86 ± 19.325 months. Conclusions CSS significantly increased the disease-free survival time of BOT and reduced the relapse risk. However, CSS had a slightly negative and statistically insignificant association with live birth.

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