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[Evolution of surgical treatments in patients with borderline ovarian tumors]
Hanna Makarewicz-Olszewska1, Janusz Emerich, Juliusz Kobierski
1II Kliniki Połoznictwa i Ginekologii, Akademii Medycznej w Gdańsku.
Objectives:
The aim of this study was to evaluate a type and range of primary operation of patients with borderline ovarian tumours.
Material And Methods:
The analysis included 129 patients operated for ovarian tumours of borderline malignancy in the Gynaecological Department of Medical University of Gdańsk between 1978-2000. The two types of primary operations were defined: conservative and radical. The dependency of type of operation on such factors as age of patients, parity, stage and histological type on was assessed.
Results:
The group of 42 patients were treated with conservative surgery and 87 underwent radical treatment. 36 from 42 patients (85.7%) were treated by USO. A conservative surgery was mainly performed in young patients with mucinous borderline tumor in stage IA. The risk of recurrence was 4.8% in the group of patients treated conservatively and 8.0% in group of patients treated radically. 5-years survival was, 98.2% and 87.2% respectively.
Conclusions:
The type of the primary operation depends on age, parity, stage and histological type of borderline ovarian tumors. A conservative surgery is a proper treatment for young women with borderline ovary tumours in stage Ia. For older, perimenopausal women TAH with BSO is suggested.
