- 作者：Chengying Lian ; Xiujuan Chen ; chanxiujuan@163.com" class="auth_mail" title="E-mail the corresponding author ; Yihua Ni ; Xiaochen Huang ; Yuan Lin
- 关键词：Borderline ovarian tumors ; Fertility-sparing surgery ; Infertility ; Pregnancy
- 刊名：International Journal of Gynecology and Obstetrics
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：134
- 期：3
- 页码：282-285
- 全文大小：164 K
Methods
A retrospective study included nulliparous patients aged 40 years or younger who had undergone fertility-sparing surgery for BOTs between January 2005 and June 2012 at a center in Fuzhou, China. Identified patients were followed up by telephone or mail between March 15 and June 30, 2013. Patients who had already been pregnant and those who had not but had discontinued contraception for more than 1 year were included in final analyses.
Results
Among 23 included patients, 17 (74%) had become pregnant within the mean follow-up period of 48.2 months. The frequencies of previous infertility, sequelae of pelvic inflammatory disease, and endometriosis were all higher in the nonpregnant group than in the pregnant group (P ≤ 0.021 for all). More women in the nonpregnant group that in the pregnant group had BOTs of stage II or worse, but the difference was nonsignificant (P = 0.059).
Conclusion
Fertility-sparing surgery in young patients with BOTs is associated with a good pregnancy rate. However, the tumor stage and coexisting infertility factors are important considerations in selecting the optimal surgical approach.