A Clinical Study on Borderline Epithelial Tumors of Ovary.

Kim, H C; Kim, K T; Kim, W K; Oh, H Y; Choi, Y T; Han, J W

Original Article

Korean Journal of Obstetrics & Gynecology 1997;40(11):2437-2443.
Published online January 1, 2001.

A Clinical Study on Borderline Epithelial Tumors of Ovary.

H C Kim, K T Kim, W K Kim, H Y Oh, Y T Choi, J W Han

Department of Obstetrics and Gynecology, College of Medicine, InJe University, Pusan, Korea.

Abstract

A clinical and pathological study was made on a series of 34 cases of borderline epithelial ovarian tumors, which were managed at Pusan Paik Hospital of InJe university, from January 1985 to December 1996. The results obtained as follows: 1. The incidence was 19.9%(34/171 cases) among all epithelial ovarian malignancies. 2. Age distribution was between 14 and 78 years old, mean age was 37 years old. 3. As for the parity, nulliparity was most common(38.2%). 4. Abdominal discomfort(58.8%), palpable mass(41.2%) and abdominal distension(41.2 %) were the main symptoms. 5. As for the FIGO stage, 29(85%) cases were at Ia, 2(5.9%) cases at Ic, 1(2.9%) case at IIc, at IIIb, at IIIc, respectively. 6. The most common histological type was mucinous, 28(82.4%) cases, the next was serous, 5(14.7%) cases. 7. Among the surgical staging procedures, the positive rate of peritoneal cytology was 29 %(5/22) and that of omentectomy was 12.5%(2/16). 8. Twenty one(61.8%) cases were managed by conservative operation and 13(38.2%) by extirpative operation, and postoperative chemotherapy was given in 2 cases. 9. Follow-up was possible in 27(79.4%) cases. The duration of follow-up ranged from 7 to 115 months. Mean duration was 32.9 months. The presumed 5 year survival rate was over 85%.

Key Words: Clinical study, Borderline epithelial ovarian tumor