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Identifying Borderline Ovarian Tumor Recurrence Using Routine Ultrasound Follow-Up.

Caitlin Lazurko1, Tomer Feigenberg2,3, Joan Murphy2

  • 1Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.

Cancers
|January 8, 2023
PubMed
Summary

Routine ultrasounds effectively detect borderline ovarian tumor (BOT) recurrences, especially after fertility-sparing surgery. This surveillance method identifies most recurrences before symptoms arise, aiding early intervention for young patients.

Keywords:
borderline ovarian tumorrecurrenceultrasound

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Area of Science:

  • Gynecologic Oncology
  • Reproductive Medicine
  • Medical Imaging

Background:

  • Borderline ovarian tumors (BOTs) are frequently diagnosed in young women.
  • While definitive surgical management exists, fertility-sparing options are available.
  • Effective surveillance strategies for BOT recurrence are debated.

Purpose of the Study:

  • To evaluate the efficacy of ultrasound screening in detecting borderline ovarian tumor recurrence.
  • To compare recurrence rates between fertility-sparing and definitive surgeries.
  • To assess the role of ultrasound in early detection of BOT recurrence.

Main Methods:

  • Retrospective chart review of 56 patients diagnosed with BOT between January 2015 and June 2020.
  • Exclusion of patients with other gynecologic malignancies or inadequate follow-up.
  • Analysis of recurrence rates and detection methods, focusing on ultrasound findings.

Main Results:

  • Overall recurrence rate was 10.7%, with 23.5% in the fertility-sparing group and 5.1% in the definitive surgery group.
  • Ultrasound detected 83.3% of recurrences, often before symptom onset.
  • Average time to recurrence was 51.5 months.

Conclusions:

  • Routine ultrasound follow-up is effective for early detection of borderline ovarian tumor recurrence.
  • Ultrasound plays a crucial role in identifying recurrences, particularly in patients who have undergone fertility-sparing surgery.
  • Evidence supports the use of ultrasound in surveillance protocols for BOT patients.