Borderline malignant ovarian tumor are characterized as neoplasms exhibiting cellular priliferative changes greater than those seen in the benign form, but not showing destructive invasion of the ovarian stroma.
We reviewed 14 cases of borderline ovarian tumor who had been diagnosed and treated at Kyung-Pook university hospital from 1987 to 1992.
We analysed the clinical features, treatment and prognosis which were compared to 24 cases of the epithelial cvarian cancer at the same period.
The most common histological thpe of boderline tumor was mucinous type(11 cases, 79%), the next one was serous type(3 cases, 21%).
In FIGO stage of Borderline tumor, 11 cases wee stage I a, 1 with stageⅡ c, 1 with stage Ⅲ b and 1 3with stage Ⅳ, and the FIGO stage of 24 cases of ovarian cancer was 8 cases with stage I a, 1 with stage I b, 2 with stage I c, 1 with stage Ⅱ
c,
2
with stage Ⅲ a, 1 with stage Ⅲ b, 7 with stage Ⅲ c and 2 with stage Ⅳ.
The mean age of borderline and malignant tumor was 37.1 and 47.6 years.. 3cases were being pregnant on the operation.
In the 14 cases of borderline tumor, 7 cases were managed by conservative operation, but 1 case recurred 4 years later so extirpative operation and postoperative chemotherapy were given. The other 4 cases were managed by extirpative operation but
postoperative chemotherapy was given in only 1 patient.
Follow-up ranged from 7 to 72 months. 12 cases were alive. 2 cases died, one was stage Ⅲb, the other was stage Ⅳ. This study suggest that it is necessary to follow up carefully even the early stage of borderline tumor and manage as ovarian
carcinoma
in the advanced stage.
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