Nekotorye aspekty organosokhranyayushchego lecheniya pogranichnykh opukholey yaichnikov

Abstract

The paper analyzes worldwide experience in using saving operations in patients with bilateral borderline ovarian tumors, the goals of which are to remove a tumor-altered ovarian portion and to preserve visually unchanged ovarian tissue. It comparatively characterizes the rates of recurrences, survival, and fertility after applying this approach. The authors' results of such interventions in 17 patients are given. The findings suggest that saving organ-sparing operations may be performed in patients with bilateral lesions and borderline tumors of the single ovary to maintain reproductive function; however, there is a high risk for recurrent tumors in these situations. Further accumulation of material is needed to obtain objective results and to study the molecular biological characteristics of borderline tumors that may provide a substantial aid in defining the prognosis of the disease and treatment policy in this category of patients.

Keywords

borderline ovarian tumors / organ-sparing treatment / fertility / recurrences

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