Current management of borderline ovarian tumor.

Lee, Soo Yoon; Ju, Woong

Review

Korean Journal of Obstetrics & Gynecology 2009;52(9):895-902.
Published online September 1, 2009.

Current management of borderline ovarian tumor.

Department of Obstetrics and Gynecology, Medical Research Institute, School of Medicine, Ewha Womans University. Seoul, Korea. goodmorning@ewha.ac.kr

Abstract

The mainstream in management of borderline ovarian tumor has been thorough surgical staging and close observation. Recent trends prefer conservative management especially for the young, reproductive aged women due to the good prognosis profile and wide use of laparoscopy, although the safety for oncologic outcome of conservative treatment has not been fully established. The present article updates published literatures respecting management of borderline ovarian tumor. A proper staging procedure is necessary for all the patients to estimate the risk of recurrence. Fertility-sparing surgery is a tolerable option in young patients with stage I disease. Patients with advanced-stage disease or who are finished childbearing are treated with radical surgery. The roles of adjuvant chemotherapy or laparoscopic staging are not definite up to now.

Key Words: Borderline ovarian tumor, Management