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Management of BOT (borderline ovarian tumors) The role of FSS (fertility‐sparing surgery)
• 360 BOT pts treated FSS, retrospective review, 1989 – 2008,
• recurrence,survivalandpregnancyoutcomesevaluatedand
• compared between groups that underwent radical operation
• FSS = preservation of uterus and ovarian tissue in one or both adnexa
• 344‐SI, 1‐SII,and15‐SIIIdisease
• 176‐radicalsurgery(23lap/pyand153lap/my),
• 184 ‐ FSS (48 lap/py and 136 lap/my)
• 45‐adjuvantchemotherapy,post–op
Jeong‐Yeol Park et al. 2009
FSS by Laparoscopy preferable surgical technique in BOC
 Avoid spillage, Rupture, Morcellation
 Tumors greater than 10 cm are probably correlated with higher risk of rupture
and spillage (88% in laparoscopy Vs 9% in laparotomy)
 Effectiveness of FSS by MIS and BOT minimal invasiveness derives only from
case‐series Tomao F. Critical Reviews in Oncology/Hematology. 2016 F. Ghezzi. Gynecol. Oncol. 2016
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PRECONGRESS COURSE 11 I VIENNA, AUSTRIA – 23 JUNE 2019 47