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Safety of simple cystectomy in patients with unilateral mucinous borderline tumors
Laurent J Salomon1, Catherine Lhommé, Patricia Pautier
1Department of Surgery, Institut Gustave Roussy, Villejuif, France.
Objective:
To report on ovarian carcinoma development after cystectomy for a borderline mucinous ovarian tumor.
Design:
Case report.
Setting:
A French comprehensive cancer center.
Patient(S):
One patient who developed recurrence in the form of an invasive ovarian carcinoma after simple cystectomy for a borderline mucinous ovarian tumor.
Intervention(S):
Simple cystectomy.
Main Outcome Measure(S):
Clinical outcome.
Result(S):
A 22-year-old nulliparous patient underwent laparoscopic cystectomy. Histological examination revealed a borderline mucinous ovarian tumor. No additional treatment was prescribed. Two years later, the patient relapsed with a malignant mucinous ovarian carcinoma. She underwent surgical resection and staging, including hysterectomy, bilateral adnexectomy, omentectomy, and pelvic and para-aortic lymphadenectomy, and platinum-based chemotherapy.
Conclusion(S):
Recurrence in the form of invasive ovarian carcinoma may occur in the same ovary after cystectomy in cases of borderline mucinous ovarian tumor. An approach combining systematic unilateral salpingo-oophorectomy and strict monitoring is preferable to simple cystectomy. Such treatment enables preservation of reproductive potential and reduces the risk of developing invasive carcinoma.
