[Therapy and course in 105 borderline tumors of the ovary]

A report is given on 105 patients with borderline tumours of the ovary who were treated from 1953 till 1984. 78 patients suffered from epithelial, 27 from sex cord stromal or germ cell tumours. The average age of all patients was 47.7 years. 67 patients (63.8%) underwent radical operation, whereas 38 patients (36.2%) only underwent unilateral adnexectomy. Additional treatment was applied in 10 cases. Out of 78 woman with epithelial tumours 69 (88.4%) survived 5 years, 58 (74.4%) 10 years, at which the 10-years survival time is significantly higher after radical operation, which is shown by a percentage of 81.3%, compared with 51.9% after conservative operation. Over 90% of the 27 woman suffering from nonepithelial tumours survived 5 years, 87.5% 10 years, out of whom 91% had undergone conservative and 76% radical operation. Due to the existing risk radical operation is recommended in case of borderline tumours of the ovary, especially of those with epithelial origin. However, in case of young woman wanting to have children a conservative operative approach appears to be justified with observance of strict safety precautions.