Borderline tumors of the ovary: a retrospective study of 15 cases

摘要

Borderline tumors are malignant epithelial proliferation without stromal invasion. They represent 10 to 20% of ovarian tumors. The aim of our study is to determine the clinical, paraclinical and histological aspects that may help in the diagnosis of these tumors and to suggest an optimum management. Methods: A retrospective descriptive study was conducted on 15 patients who were operated in the Departments of Gynecology and Obstetrics at the Ben Arous hospital during a period of five years between January 2001 and December 2005. Results: The average age was 38 years (23 to 69 years). Seventy-three per cent of the patients were under the age of 40 years. More than half of patients were nulliparous and nulligestes. Serous tumors were more frequent (60%). Tumors were classified at stage I in all cases. We conducted conservative treatment in 12 cases and radical treatment in three cases. A staging was performed in six cases. A lymph node dissection was performed on six cases. No adjuvant therapy was initiated. We got three cases of spontaneous pregnancies after conservative treatment. We report two cases of recurrence. Survival was 100% with a mean of 39 months. Conclusion: Ovarian borderline tumors affect young women, and nulliparous nulligestes. Infertility is a risk factor. No para clinical examination, can predicate the nature of a borderline ovarian tumor. Conservative treatment is often recommended for younger women. The staging is required for the frozen section. The lymph node dissection does not improve survival.