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Safety of simple cystectomy in patients with unilateral mucinous borderline tumors.

Abstract：

OBJECTIVE:To report on ovarian carcinoma development after cystectomy for a borderline mucinous ovarian tumor. DESIGN:Case report. SETTING:A French comprehensive cancer center. PATIENT(S):One patient who developed recurrence in the form of an invasive ovarian carcinoma after simple cystectomy for a borderline mucinous ovarian tumor. INTERVENTION(S):Simple cystectomy. MAIN OUTCOME MEASURE(S):Clinical outcome. RESULT(S):A 22-year-old nulliparous patient underwent laparoscopic cystectomy. Histological examination revealed a borderline mucinous ovarian tumor. No additional treatment was prescribed. Two years later, the patient relapsed with a malignant mucinous ovarian carcinoma. She underwent surgical resection and staging, including hysterectomy, bilateral adnexectomy, omentectomy, and pelvic and para-aortic lymphadenectomy, and platinum-based chemotherapy. CONCLUSION(S):Recurrence in the form of invasive ovarian carcinoma may occur in the same ovary after cystectomy in cases of borderline mucinous ovarian tumor. An approach combining systematic unilateral salpingo-oophorectomy and strict monitoring is preferable to simple cystectomy. Such treatment enables preservation of reproductive potential and reduces the risk of developing invasive carcinoma.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Salomon LJ,Lhommé C,Pautier P,Duvillard P,Morice P

doi

10.1016/j.fertnstert.2005.10.065

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

1510.e1-4

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(06)00216-0

journal_volume

85

pub_type

杂志文章

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