Abstract
OBJECTIVE(S): To study patient characteristics, histopathology, management, recurrence and survival in borderline ovarian tumours. METHOD(S): Thirteen patients with borderline ovarian tumours treated at GCRI during 2000-2005, were analyzed retrospectively for the above features. RESULTS : Mean age at diagnosis was 41.3 years. Complete surgery was done in eleven and conservative surgery in three. Eleven (84.61%) had stage I, one (7.69%) stage IIIC while one (7.69%) was unstaged. Frozen section correlated in 50% mucinous and 20.5% serous tumours. Two patients had recurrence, at six and nine years. One underwent secondary cytoreduction; followed by observation alone. The second unresectable recurrence was given salvage chemotherapy. CONCLUSION(S): Patients with borderline ovarian tumours have excellent survival and prognosis compared to epithelial ovarian cancers. Stage of the tumour is a prognostic indicator for recurrence. Conservative surgery is relatively safe and can be advocated in women of reproductive age, but only after thorough counseling about the increased risk of recurrence. Frozen section diagnosis of borderline ovarian tumours is inaccurate.
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