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Ovarian Borderline Tumor and Fertility-Sparing Surgery

dc.contributor.authorCorreia, A
dc.contributor.authorOlival, VG
dc.contributor.authorLeitão, C
dc.contributor.authorMahomed, F
dc.date.accessioned2014-12-04T16:23:04Z
dc.date.available2014-12-04T16:23:04Z
dc.date.issued2013
dc.description.abstractOvarian borderline tumors (OBTs) are frequently diagnosed in women of reproductive age. There is no consensus about their management, and it sometimes represents a dilemma aboutwhat should be done: fertility sparing surgery or a hysterectomy with salpingo-oophorectomy? Case: A 32-year-old nulligravida, diagnosed with a right ovarian borderline tumor is presented. She underwent pelvic washings, right salpingo-oophorectomy, appendectomy, and omental and peritoneal biopsies (laparotomic approach). Macroscopically, the left ovary was normal and subsequent exploration for staging was also normal, including the lymph nodes. Intraoperatively, frozen section examination was unclear, suggesting an OBT. Results: The final histopathologic diagnosis was ovarian borderline tumor, stage IIC (International Federation of Gynecology and Obstetrics [FIGO] staging). The patient expressed a desire to preserve her fertility. Thirty-six months postsurgery, she became pregnant spontaneously and delivered a healthy newborn at term. Conclusions: Conservative surgery can be performed in young patients treated for an OBT, provided they are closely followed up and that this surgery is performed after careful consideration and informed consent. It is, however, controversial with respect to performing hysterectomy and salpingo-oopherectomy upon the patient’s completion of childbearing.por
dc.identifier.citationJ Gynecol Surg. 2013; 29: 292-293por
dc.identifier.urihttp://hdl.handle.net/10400.17/1952
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherMary Ann Liebert, Incpor
dc.subjectNeoplasias Ovarianaspor
dc.subjectFertilidadepor
dc.subjectHDE GIN
dc.titleOvarian Borderline Tumor and Fertility-Sparing Surgerypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage293por
oaire.citation.startPage292por
oaire.citation.volume29por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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