Traitement cœlioscopique des tumeurs frontières (borderline) de l'ovaire: Analyse d'une série de 54 patientes et implications thérapeutiques

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.