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Borderline ovarian tumor treatment controversy

WU Yanli;KONG Xianchao;Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Harbin Medical University;  
Borderline ovarian tumors(BOTs) represent about 15%to 20%of all ovarian malignancies and differ from invasive ovarian cancers(IOCs) by many characters.Standardized treatment of BOTs is a complete abdominal exploration,hysterectomy,bilateral salpingo oophorectomy and omentectomy and peritoneal lavage cytology,and resection of all visible suspicious peritoneal lesions and multiple peritoneal biopsy;for mucinous BOTs patients should be underwent appendectomy.Because BOTs are often diagnosed at earlier stage,in younger age women and have better prognosis,higher survival rate than IOCs,fertility preserving surgery is the best treatment for young BOTs patients.The study of such conservative surgery is being released,and still controversial.After surgery,pregnancy and ovarian induction followed by in vitro fertilization are also significant issues.In surgery,laparoscopic technique can be used by a gynecologic oncology surgeon.So far,postoperative chemotherapy,radiotherapy and hormone therapy are not recommended.The paper discussed controversial issues of BOTs on this review and present the outline of the management of BOTs.
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