Safety of Ovarian Tissue Transplantation in Patients With Borderline Ovarian Tumors EDITORIAL COMMENT

摘要

Ten percent to 20% of all ovarian epithelial tumors are borderline ovarian tumors (BOTs). These low-grade malignancies rarely metastasize. Typically diagnosed at an early stage, BOTs usually have an excellent prognosis, but up to 4% of cases can evolve into more aggressive lesions. Approximately one third of patients with these tumors are under 40 years of age. The criterion standard treatment for BOTs is radical surgerywith bilateral salpingo-oophorectomy. However, conservative surgery, either unilateral salpingo-oophorectomy or cystectomy, can be performed to preserve future fertility in women of reproductive age wishing to conceive. The risk of recurrence after radical surgery is low (0%-5%). Almost always relapses show BOT histology and can be safely managed with a second surgical intervention.