We retrospectively reviewed the charts of patients with BOT who were referred to our centre to undergo restaging procedure. From December 1995 to May 2008, 186 patients were treated for BOT and 70 patients met the inclusion criteria. Data collected included patients' age, primary and re-staging surgery details, FIGO stage after first and second procedure, pathological findings, and follow-up data.
FIGO stage after primary surgery was IA in 46 patients (68.6 % ), IB in 7 patients (10.4 % ), IC in 12 patients (17.9 % , 6 due to ruptured cyst), IIA in 1 patient (1.4 % ), IIB in 1 patient (1.4 % ), III B in 2 patients (2.8 % ), and IIIC in 1 patient (1.4 % ). Among stage I patients (representing 97 % of all patients), 12.3 % (8 patients) were up-staged. The upstaging rate among serous tumors was 16.2 % , and 4 % among mucinous tumors. The mean follow-up time was 60.4 months from restaging surgery (SD 30.6 months). We observed 8 primary recurrences of the disease and 3 second recurrences.
There were no differences in terms of overall survival between patients who were upstaged and those who were not. Restaging procedure does not seem to have a significant impact on the management of patients diagnosed with borderline ovarian tumors, especially in mucinous subtype and apparent FIGO stage higher than I.