[Ovaria borderline tumor - fertility-sparing surgery; case report]

Area of Science:

• Gynecologic Oncology
• Reproductive Endocrinology
• Pathology of Ovarian Tumors

Background:

• Borderline ovarian tumors (BOTs), also termed low malignant potential tumors, predominantly affect women of reproductive age.
• A significant proportion of affected women express a desire for future fertility.
• Invasive ovarian carcinoma is more common in older populations compared to BOTs.

Purpose of the Study:

• To evaluate the feasibility and outcomes of fertility-sparing surgery in women with borderline ovarian tumors.
• To assess the oncologic risks, specifically recurrence rates, associated with fertility-sparing management of BOTs.
• To provide insights into the management of BOTs in young women desiring future pregnancies.

Main Methods:

• Review of clinical data for patients diagnosed with borderline ovarian tumors who underwent fertility-sparing surgery.
• Analysis of surgical outcomes, including intraoperative findings and postoperative recovery.
• Long-term follow-up to assess recurrence rates, particularly on the contralateral ovary, and impact on fertility.

Main Results:

• Fertility-sparing surgery is technically feasible for a majority of borderline ovarian tumors.
• While preserving fertility, a notable risk of disease recurrence exists, especially in the contralateral ovary.
• Younger age and specific tumor characteristics may influence recurrence risk.

Conclusions:

• Fertility-sparing surgery is a viable option for young women with borderline ovarian tumors who wish to preserve fertility.
• Careful patient selection and close monitoring are essential due to the risk of contralateral ovarian recurrence.
• Further research is warranted to optimize management strategies and minimize recurrence risk in this patient group.