Borderline Ovarian Tumors
Journal Title: Chettinad Health City Medical Journal - Year 2018, Vol 7, Issue 4
Abstract
About 15 to 20% of ovarian epithelial tumors are “borderline”. Majority of them are serous or mucinous. They pose significant problems in diagnosis as there are no specific clinical features or investigations to ascertain the “borderline” nature. For a frozen section diagnosis an expert pathologist is needed. Surgical staging with radical surgery ensures near 100% survival in stage I. Even in advanced stage without invasive implants survival is excel- lent. A third of Borderline Ovarian Tumors(BOT) occur in women under 40 years. Fertility sparing surgery in early stage carries good prognosis. Laparoscopic surgery can also be undertaken without adverse effects. There is no role for adjuvant chemo/radiotherapy except probably when there are invasive implants. Prognostic factors include advanced stage at surgery, suboptimal debulking, invasive implants and micropapillary architecture. Long follow up has been recommended as recurrences are reported even after decades.
Authors and Affiliations
habeebullah s, latha c, Latha C
Keywords
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