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Is ovarian cystectomy feasible for patients with borderline ovarian tumors? A retrospective study and review of the literature

Authors
Kim, SeongminMin, Kyung JinLee, SanghoonHong, Jin HwaSong, Jae YunLee, Jae KwanLee, Nak Woo
Issue Date
Feb-2022
Publisher
S O G Canada Inc.
Keywords
Borderline ovarian tumor; Fertility sparing; Ovarian cystectomy; Oophorectomy
Citation
Clinical and Experimental Obstetrics and Gynecology, v.49, no.2
Indexed
SCIE
SCOPUS
Journal Title
Clinical and Experimental Obstetrics and Gynecology
Volume
49
Number
2
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/55515
DOI
10.31083/j.ceog4902051
ISSN
0390-6663
Abstract
Background: Given that borderline ovarian tumors (BOTs) are usually found in young, fertile women without a history of childbirth, fertility preservation should be considered in the treatment plan. This retrospective study aimed to evaluate the safety of ovarian cys-tectomy in patients with BOTs. Methods: Patients with BOTs treated between August 2007 and August 2016 at our institution were divided into two groups according to the type of surgery: the cystectomy group and the oophorectomy group with or without salpingec-tomy, and differences in surgical outcomes were compared. The cumulative disease recurrence was also compared using Kaplan-Meier curves. Results: Of the 162 patients enrolled, 128 (79.0%) underwent an oophorectomy with or without salpingectomy and 34 (21.0%) underwent an ovarian cystectomy. The patients in the cystectomy group were younger than those in the oophorectomy group (29.2 years vs. 46.5 years, p < 0.001), and the proportion of patients who underwent minimally invasive surgery was higher in the cystectomy group than in the oophorectomy group (88.2% vs. 46.9%, p < 0.001). During the mean follow-up period of 44 months, six patients (3.70%) developed disease recurrence (five [3.9%] and one [2.9%] in the oophorectomy and cystectomy groups, respectively). The two-year disease-free survival rate was 97.1% and 97.6% in the cystectomy and oophorectomy groups, respectively, and did not differ between the groups (p = 0.818). Discussion: Ovarian cystectomy can be considered a safe and effective option for young women with BOTs who wish to preserve their fertility.
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Lee, Nak Woo
Ansan Hospital (Department of Obstetrics and Gynecology, Ansan Hospital)
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