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Staging procedures fail to benefit women with borderline ovarian tumours who want to preserve fertility: a retrospective analysis of 448 cases

Authors :
Na Li
Jinhai Gou
Lin Li
Xiu Ming
Ting Wenyi Hu
Zhengyu Li
Source :
BMC Cancer, Vol 20, Iss 1, Pp 1-10 (2020)
Publication Year :
2020
Publisher :
BMC, 2020.

Abstract

Abstract Background To evaluate the effect of clinicopathologic factors on the prognosis and fertility outcomes of BOT patients. Methods We performed a retrospective analysis of BOT patients who underwent surgical procedures in West China Second University Hospital from 2008 to 2015. The DFS outcomes, potential prognostic factors and fertility outcomes were evaluated. Results Four hundred forty-eight patients were included; 52 recurrences were observed. Ninety-two patients undergoing FSS achieved pregnancy. No significant differences in fertility outcomes were found between the staging and unstaged surgery groups. Staging surgery was not an independent prognostic factor for DFS. Laparoscopy resulted in better prognosis than laparotomy in patients with stage I tumours and a desire for fertility preservation. Conclusion Patients with BOT fail to benefit from surgical staging. Laparoscopy is recommended for patients with stage I disease who desire to preserve fertility. Physicians should pay more attention to risk of recurrence in patients who want to preserve fertility.

Details

Language :
English
ISSN :
14712407
Volume :
20
Issue :
1
Database :
Directory of Open Access Journals
Journal :
BMC Cancer
Publication Type :
Academic Journal
Accession number :
edsdoj.56b4a2f33afc49489fcd00421fd49aac
Document Type :
article
Full Text :
https://doi.org/10.1186/s12885-020-07262-w