Conservative surgery for borderline ovarian tumors safe, preserves fertility


WESTPORT, CT (Reuters Health) – In young women with borderline ovarian tumors, conservative laparoscopic surgery appears to be safe for those who want to have children.

An Italian team, led by Dr. Renato Seracchioli of the University of Bologna, followed 19 women, mean age 27, who underwent conservative laparoscopic surgery for borderline ovarian tumors between 1995 and 1998. None of the tumors exhibited stromal invasion. Mean follow-up was 42 months.

All 19 women wanted retain their fertility. Ten of the women attempted to conceive during follow-up and six were successful. All six pregnancies were carried to term and none was complicated by disease activity during gestation or during a follow-up of 2 years after pregnancy. All six women had undergone cystectomy prior to conception for disease management.

Dr. Seracchioli and colleagues infer, in their paper published in the November issue of Fertility and Sterility, that the findings indicate that pregnancy does not appear to influence disease recurrence in women with borderline ovarian tumors.

"In our opinion, conservative laparoscopic treatment is an appropriate and reasonable surgical approach," they write. "Even if pregnancy does not seem to influence the recurrence of the disease, randomized prospective studies with longer follow-up periods are still needed to evaluate the long-term efficacy of laparoscopic treatment."

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