Premium
Management of borderline ovarian tumours
Author(s) -
Bagade Pallavi,
Edmondson Richard,
Nayar Anitha
Publication year - 2012
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/j.1744-4667.2012.00102.x
Subject(s) - medicine , fertility , confusion , conservative management , general surgery , multidisciplinary approach , radical surgery , multidisciplinary team , gynecology , intensive care medicine , surgery , cancer , psychology , nursing , population , social science , environmental health , sociology , psychoanalysis
Key content Borderline ovarian tumours are a heterogeneous group of tumours often seen in younger women. Many are only diagnosed after primary surgery has already taken place for a presumed benign lesion. The subsequent management often causes confusion. Complete surgical staging is the cornerstone of management, but conservative surgery is an acceptable alternative in those keen to retain their fertility. The role of long‐term follow‐up is controversial.Learning objectives To gain an overview of the pathology and biology of borderline ovarian tumours. To understand the principles of surgical management in young women and the importance of a multidisciplinary team approach. To appreciate the value of following up these women.Ethical issues Can we reduce the morbidity of radical surgery in a young woman wishing to retain her fertility? Is a more conservative approach a safe alternative regarding cancer prognosis?