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[Borderline Ovarian Tumours: CNGOF Guidelines for Clinical Practice - Short Text].

N Bourdel1, C Huchon2, A W Cendos3

  • 1Service de chirurgie gynécologique, CHU de Clermont-Ferrand, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|February 1, 2020
PubMed
Summary

This study provides guidelines for managing borderline ovarian tumors (BOT), emphasizing fertility preservation and expert pathological review. No general population screening is recommended, but tailored surveillance is advised post-treatment.

Keywords:
Borderline ovarian tumourPractice guidelinesRecommandations pour la pratique cliniqueTumeur frontière de l’ovaire

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Area of Science:

  • Gynecology
  • Oncology
  • Pathology

Background:

  • Borderline ovarian tumors (BOT) require specific diagnostic and management strategies.
  • Current guidelines are updated based on available scientific evidence.
  • Fertility preservation and surveillance are key considerations in BOT management.

Purpose of the Study:

  • To define diagnostic and surgical management strategies for BOT.
  • To establish fertility preservation and surveillance protocols for BOT patients.
  • To provide evidence-based recommendations for clinicians.

Main Methods:

  • Literature review and evidence synthesis.
  • Expert consensus and guideline development by the CNGOF.
  • Analysis of diagnostic modalities including MRI and pathological review.

Main Results:

  • No screening modality is recommended for the general population.
  • Expert pathological review is crucial for specific BOT subtypes and presentations.
  • Fertility-sparing surgical options are recommended for early-stage BOT when desired.
  • Long-term follow-up (>5 years) is advised.
  • Reproductive medicine consultation is recommended for women of childbearing age.

Conclusions:

  • Management of BOT should be individualized, prioritizing fertility preservation where possible.
  • Expert pathological review and advanced imaging (MRI) aid in diagnosis and subtyping.
  • Systematic hysterectomy is not recommended for early-stage BOT.
  • Long-term surveillance and specialized reproductive consultations are essential components of BOT care.