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Annals of Oncology 15:605-609, 2004
© 2004 European Society for Medical Oncology

Original Paper

Clinical outcome after laparoscopic pure management of borderline ovarian tumors: results of a series of 34 patients

Received 23 October 2003; revised 23 December 2003; accepted 6 January 2004

Background:

The aim of this study was to assess clinical outcome after laparoscopic treatment of borderline ovarian tumor (BOT).

Patients and methods:

Thirty-four patients treated initially and/or for recurrent disease using a laparoscopic approach for BOT from 1984 to January 2002.

Results:

Thirty-four patients underwent laparoscopic pure treatment (without conversion by laparotomy and/or reassessment surgery by laparotomy) for BOT. Conservative treatment was performed in 31 (91%) patients. Median follow-up time was 45 months (range 6–228). Six (17%) patients recurred (in the remaining ovary following conservative surgery in five patients and in the peritoneum in one patient). Two port-site metastases were observed. None of the patients had recurrent disease in the form of ovarian carcinoma. Nine spontaneous pregnancies were observed in six patients from a group of 15 patients desiring pregnancy. All patients are alive today and disease-free.

Conclusion:

These results seem to demonstrate that laparoscopic treatment can be safely performed in young patients with early stage BOT. Such a procedure is then feasible, but should be evaluated in patients with BOT and peritoneal implants.

S. Camatte, P. Morice*, D. Atallah, A. Thoury, P. Pautier, C. Lhommé, P. Duvillard and D. Castaigne

Institut Gustave Roussy, Villejuif, France

Key words: borderline tumor, conservative surgery, fertility, laparoscopy, pregnancy


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