[Laparoscopic treatment of borderline ovarian tumor: analysis of 54 patients and clinical outcomes]

S. Camatte , X. Deffieux (1) , D. Castaigne , A. Thoury , V. Fourchotte , P. Pautier , C. Lhommé (2) , P. Duvillard (3) , P. Morice

1 Physiologie et physiopathologie de la motricité chez l'homme
2 LABACOLIL - Laboratoire de Psychologie Cognitive
3 Département de biologie et pathologie médicales [Gustave Roussy]

OBJECTIVE: The aim of this study is to assess the clinical outcomes of laparoscopic treatment of borderline ovarian tumor (BOT). PATIENTS AND METHODS: Retrospective analysis of 54 patients treated using a laparoscopic approach for a BOT between January 1984 and January 2002. RESULTS: A conservative management was initially performed in 45 patients (83%). Twenty-six patients underwent a reassessment surgery and 7 (27%) of them were upstaged following this procedure. Seven (13%) patients recurred in a remaining ovary following conservative surgery (5 patients) or on the peritoneum (2 patients). Three port-site localizations were observed. None of the patients treated with conservative management had recurrent disease under the form of ovarian carcinoma. Nine spontaneous pregnancies were observed in 6 patients from a group of 19 patients desiring pregnancy. All patients are today alive and disease-free. DISCUSSION AND CONCLUSION: Our study suggests that laparoscopic treatment could be safely performed in young patients with early stage BOT. Such procedure should be further evaluated in patients with BOT and peritoneal implants.

Domaines: Médecine vétérinaire et santé animale

S. Camatte, X. Deffieux, D. Castaigne, A. Thoury, V. Fourchotte, et al.. [Laparoscopic treatment of borderline ovarian tumor: analysis of 54 patients and clinical outcomes]. Gynécologie Obstétrique & Fertilité, 2005, 33 (6), pp.395-402. ⟨10.1016/j.gyobfe.2005.04.022⟩. ⟨hal-00272265⟩