SEROUS BORDERLINE OVARIAN TUMORS WITH INVASIVE ANO NONINVASIVE IMPLANTS
Keywords:
peritoneal implants, ovarian neoplasms, borderline ovarian tumorAbstract
Borderline ovarian tumors account for 15% to 20% of ai/ epithe/ial ovarian malignant tumors, and the serous histological type is the most frequent one. ln general, women who are diagnosed with borderline ovarian tumors at an early stage have a longer survival time and present lower risk of recurrence when compared with women who present carcinomas. Fifteen to 30% of serous borderline ovarian tumors are associated with extra ovarian implants. These implants are classified as invasive and noninvasive according to their histopathological presentation and peritoneal implants are the most common ones. The purpose of this review article is to characterize invasive and noninvasive imp/ants of serous borderline tumors. The research was conducted by searching Medline (Pubmed) using the fo/lowing keywords: borderline ovarian tumor, low malignant potential, ovarian tumor, ovarian neop/asia and peritoneal implants. Ten artic/es published until May 2005 were inc!uded. Four hundred and four women with invasive and noninvasive implants were evaluated. The mean age was 25 to 42 years. Fertility sparing surgery was dane in 2% to 100% of the cases. There were 27% women with invasive implants and 73% with noninvasive implants. The mean follow-up was 6.4 years and 32 (8%) women died from the disease. The presence of invasive and noninvasive implants in women with borderline ovarian tumor reinforces the necessity of a meticulous surgical staging of the disease.
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