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[Conservative treatment of patients with borderline ovarian tumors]
H Makarewicz1, J Emerich, J Olszewski
1II Kliniki Połoznictwa i Ginekologii Akademi Medycznej w Gdańsku.
Objectives:
The aim of this study was to characterise group of patients with borderline tumours undergoing surgical treatment.
Design:
The analysis included 83 patients with ovarian tumours of borderline malignancy at stage Ia, operated in the Gynaecological Department of Medical University of Gdańsk between 1978-1997. The study takes into account comparison of: age of patients, type of surgery, tumour pathology, post surgical treatment. Furthermore, long term follow up was assessed.
Results:
In the group of 83 patients with stage Ia 37 ware treated with conservative surgery, 46 underwent radical treatment. Postsurgical chemical treatment was not applied. Three patients had to be reoperated because of neoplasm disease recurrence. 8 patients were died from reasons not connected with main disease.
Conclusions:
Conservative surgery is proper treatment for young women with borderline ovary tumours in stage Ia. For older, perimenopausal women TAH with BSO without additional chemotherapy is suggested.