Management of Low Malignant Potential Ovarian Tumor in Postmenopausal Women via Minimal Invasive Surgery in Hospital Putrajaya

Borderline ovarian tumors (BOTs) form a separate entity within the group of epithelial ovarian tumors acknowledged by the International Federation of Gynecology and Obstetrics (FIGO) in 1961 and adopted by the World Health Organization (WHO) in 1973. Tumors of low malignant potential (LMP) account for 1520% of all epithelial ovarian cancers, with an incidence of 1.8-4.8 per 100,000 women per year5. Nearly 75% of these tumors are stage I at the time of diagnosis. They occur in younger women, are present at an early stage, and have a favorable prognosis. Numerous studies have demonstrated the advantage of a laparoscopic approach over laparotomy for the surgical management of benign adnexal diseases. Laparoscopy can be an alternative to laparotomy for the treatment of borderline ovarian tumors. However, this approach requires strict surgical procedure to avoid under staging, dissemination and wound metastasis.

[1]  H. Tournaye,et al.  Necessity of appendectomy for mucinous borderline ovarian tumors. Systematic review , 2016, Archives of Gynecology and Obstetrics.

[2]  M. K. Kim,et al.  Controversies in borderline ovarian tumors , 2015, Journal of gynecologic oncology.

[3]  D. Chi.  Laparoscopy in gynecologic malignancies. , 1999, Oncology.

[4]  E. Venkatraman,et al.  Laparoscopic-assisted vaginal hysterectomy for endometrial cancer: clinical outcomes and hospital charges. , 1999, Gynecologic oncology.

[5]  G. Gross,et al.  Cost and quality-of-life analyses of surgery for early endometrial cancer: laparotomy versus laparoscopy. , 1996, American journal of obstetrics and gynecology.

[6]  D. Provencher,et al.  Laparoscopic staging of early ovarian cancer. , 1996, Gynecologic oncology.

[7]  N. Teng,et al.  Operative laparoscopy in the management of ovarian cancer. , 1996, Surgical laparoscopy & endoscopy.

[8]  A. Berchuck,et al.  Comprehensive Restaging Laparotomy in Women With Apparent Early Ovarian Carcinoma , 1992, Obstetrics and gynecology.

[9]  H. Reich,et al.  Laparoscopic management of stage I ovarian cancer. A case report. , 1990, The Journal of reproductive medicine.

[10]  B. Edwards,et al.  Staging laparotomy in early ovarian cancer. , 1983, JAMA.

[11]  S. Chang,et al.  Laparoscopic surgical procedures for early ovarian cancer. , 1995, Acta obstetricia et gynecologica Scandinavica.

[12]  A. Tolino,et al.  Laparoscopic staging of ovarian carcinoma. , 1981, European journal of gynaecological oncology.