Clinical outcomes and fertility after conservative treatment of ovarian borderline tumors

Objective: To assess clinical outcome and fertility in patients treated conservatively for a low malignant potential (LMP) ovarian tumor. Design: Retrospective study. Setting: Gynecologic oncology department of a cancer care center in France. Patient(s): Forty-four patients treated with conservative management for a stage I (n = 32) or stage II or III (n = 12) LMP tumor. Intervention(s): Thirty-three patients had unilateral adnexectomy and 11 had cystectomy. Cystectomy was bilateral in 1 patient and was done in conjunction with contralateral adnexectomy in 5 patients. Main Outcome Measure(s): Tumor recurrence and pregnancy rates. Result(s): Tumor recurrence rates after radical surgery (hysterectomy with bilateral salpingo-oophorectomy), adnexectomy, and cystectomy were 5.7%, 15.1%, and 36.3%, respectively ( P