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논문 기본 정보

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학술저널
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대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제58권 제2호
발행연도
2015.1
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98 - 105 (8page)

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Objective Despite the good prognosis of borderline ovarian tumors (BOTs), a few BOT patients experience the relapse of disease, either borderline or malignant. However, the risk of recurrence of BOTs is somewhat controversial. We intended to find out the specific characteristics and prognosis of the recurrence of BOTs. Methods Between 1995 and 2012, 130 women were diagnosed with BOTs at a single institution. Eleven patients diagnosed and treated for the recurrence of BOTs including seven cancerous and four borderline relapses were included for the analysis in this retrospective study. Clinicopathological characteristics and surgical procedures as well as follow-up data with overall survival were assessed. Statistical analyses was performed using the χ2 test, t-test and log-rank test with Cox regression. Results One hundred and thirty patients with mean follow-up of 65.8 months were evaluated, of whom half were below 40 years old at their first diagnosis of BOTs. Among 11 recurrent cases (8.5%), 7 cancerous transformations (5.4%) and 4 borderline recurrences (3.1%) were detected with median time of 6 and 71 months after the primary surgery, respectively. Nine out of 11 recurrences were happened at their equal or below 40-years-old age at the primary diagnosis (P=0.027). Also, all 7 cancerous relapses arose from premenopausal women of median age of 35 years old. Twenty (15%) patients had laparoscopic surgery and they were all treated conservatively. Among those 20, 5 were suffered from relapse of BOTs and laparoscopic approach was proved to be a significant risk factor for disease relapse in our study (P=0.013). Although laparoscopic surgery was revealed had meaningful influence on disease free survival (P=0.024), it was not significant on overall survival (P=0.226). Conclusion Laparoscopic conservative surgery for BOTs can be accepted under close follow-ups. And younger patients should be followed for long period to evaluate recurrence.
#Epithelial-mesenchymal transformation #Laparoscopy #Ovarian neoplasms #Recurrence

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참고문헌 (20)

참고문헌 신청
Desfeux P. / 2005 / Impact of surgical approach on the management of macroscopic early ovarian borderline tumors / Gynecol Oncol 98 : 390 ~ 395 google schola Du Bois A. / 2013 / Borderline tumours of the ovary : a cohort study of the Arbeitsgmeinschaft Gynakologische Onkologie(AGO)Study Group / Eur J Cancer 49 : 1905 ~ 1914 google schola Fauvet R. / 2005 / Laparoscopic management of borderline ovarian tumors : results of a French multicenter study / Ann Oncol 16 : 403 ~ 410 google schola Ferrero A. / 2012 / Clinical significance of microinvasion in borderline ovarian tumors and its impact on surgical management / Int J Gynecol Cancer 22 : 1158 ~ 1162 google schola Lenhard MS. / 2009 / Long-term follow-up after ovarian borderline tumor : relapse and survival in a large patient cohort / Eur J Obstet Gynecol Reprod Biol 145 : 189 ~ 194 google schola

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