scholarly journals Reproductive and obstetrical outcomes with the overall survival of fertile-age women treated with fertility-sparing surgery for borderline ovarian tumors in Sweden: a prospective nationwide population-based study

2021 ◽  
Vol 115 (1) ◽  
pp. 157-163 ◽  
Author(s):  
Gry Johansen ◽  
Pernilla Dahm-Kähler ◽  
Christian Staf ◽  
Angelique Flöter Rådestad ◽  
Kenny A. Rodriguez-Wallberg
Keyword(s):  
Overall Survival ◽  
Population Based ◽  
Ovarian Tumors ◽  
Population Based Study ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Obstetrical Outcomes ◽  
Fertility Sparing

Clinical Significance of Microinvasion in Borderline Ovarian Tumors and Its Impact on Surgical Management

2012 ◽  
Vol 22 (7) ◽  
pp. 1158-1162 ◽  
Author(s):  
Annamaria Ferrero ◽  
Isabella Strada ◽  
Barbara Di Marcoberardino ◽  
Lucia Ricci Maccarini ◽  
Federica Pozzati ◽  
...  
Keyword(s):  
Overall Survival ◽  
Prognostic Factors ◽  
Ovarian Tumors ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Exophytic Tumor ◽  
Group 2 ◽  
Group 1

ObjectiveThe aims of this study were to evaluate the rate of recurrences in borderline ovarian tumors (BOTs) with microinvasion and to evaluate the possibility to enlarge fertility-sparing surgery in this group of patients.MethodsBetween 1985 and 2010, 209 patients with BOTs were retrospectively divided into 2 groups: group 1 consisted of 28 women with microinvasive BOTs; group 2 consisted of 181 with BOTs without microinvasion. All of the patients were submitted to surgical treatment: in group 1, 10 patients underwent cystectomy (CYS), 11 patients underwent monolateral salpingo-oophorectomy (MSO), and 7 patients underwent bilateral oophorectomy with or without total hysterectomy (BSO); in group 2, 34 patients underwent CYS, 58 patients underwent MSO, and 89 patients underwent BSO. Specific prognostic factors such as stage, surgical approach, intraoperative spillage, histology, exophytic tumor growth, and endosalpingiosis were analyzed. Tumor recurrence rate and overall and disease-free survivals were evaluated.ResultsAfter a mean follow-up of 53 months, relapses occurred in 21.4% of the cases in group 1 and in 12.7% of the cases in group 2 (P = 0.21). The prognostic factors had no significant differences in the 2 groups. Relapses after CYS, MSO, and BSO were observed in 30%, 27.3%, and 0%, respectively, in group 1 and in 29.4%, 12.1%, and 6.7%, respectively, in group 2. Progression-free survival was significantly longer in BOTs compared to microinvasive BOTs (P = 0.041), but overall survival did not differ.ConclusionsAlthough exploratory, our data suggest that BOTs with microinvasion present earlier relapses, but overall incidence of relapses and overall survival do not differ significantly from BOTs without microinvasion. Fertility-sparing surgery is feasible in this group of patients, but strict follow-up has to be suggested.

Fertility-sparing surgery and reproductive-outcomes in patients with borderline ovarian tumors

2020 ◽  
Vol 157 (2) ◽  
pp. 411-417 ◽  
Author(s):  
Helmut Plett ◽  
Philipp Harter ◽  
Beyhan Ataseven ◽  
Florian Heitz ◽  
Sonia Prader ◽  
...  
Keyword(s):  
Ovarian Tumors ◽  
Reproductive Outcomes ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

Fertility-Sparing Surgery for Borderline Ovarian Tumors: Oncologic Safety and Reproductive Outcomes

2011 ◽  
Vol 21 (4) ◽  
pp. 640-646 ◽  
Author(s):  
Taejong Song ◽  
Chel Hun Choi ◽  
Hwang Shin Park ◽  
Min-Kyu Kim ◽  
Yoo-Young Lee ◽  
...  
Keyword(s):  
Young Patients ◽  
Ovarian Tumors ◽  
Reproductive Outcomes ◽  
Recurrence Rates ◽  
Main Site ◽  
Oncological Safety ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Initial Surgery ◽  
Fertility Sparing

Introduction:To evaluate the oncological safety and reproductive outcomes of patients with borderline ovarian tumors (BOTs) treated with fertility-sparing surgery.Methods:Patients with BOTs who underwent radical or fertility-sparing surgery between 1997 and 2009 were identified from an institutional database. The recurrence rates were compared between the 2 surgery groups. To compare the reproductive outcomes, all patients who underwent fertility-sparing surgery were interviewed by telephone.Results:One hundred forty-three patients underwent radical surgery, and 155 patients underwent fertility-sparing surgery. After a median interval of 38 months from the initial surgery (range, 10-77 months), 19 patients had a recurrence. The recurrence rate was similar in the radical and fertility-sparing surgery groups (4.9% and 7.7%, respectively;P= 0.280). In the fertility-sparing surgery group, however, the main site of recurrence was the remaining ovary that was successfully salvaged with a second round of fertility-sparing surgery. Of 51 patients who attempted to conceive, 45 patients (88.2%) were successful and resulted in 54 term deliveries.Conclusions:Fertility-sparing surgery for BOTs is safe and can result in future pregnancies, suggesting that such surgery should be considered for young patients who desire preservation of fertility.

scholarly journals Unilateral salpingo-oophorectomy as fertility-sparing surgery for borderline ovarian tumors

2011 ◽  
Vol 74 (6) ◽  
pp. 250-254 ◽  
Author(s):  
Hsiao-Wen Tsai ◽  
Chin-Chu Ko ◽  
Chang-Ching Yeh ◽  
Yi-Jen Chen ◽  
Nae-Fang Twu ◽  
...  
Keyword(s):  
Ovarian Tumors ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

Surgical management of borderline ovarian tumors: The role of fertility-sparing surgery

2009 ◽  
Vol 113 (1) ◽  
pp. 75-82 ◽  
Author(s):  
Jeong-Yeol Park ◽  
Dae-Yeon Kim ◽  
Jong-Hyeok Kim ◽  
Yong-Man Kim ◽  
Young-Tak Kim ◽  
...  
Keyword(s):  
Surgical Management ◽  
Ovarian Tumors ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing
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