11.1. |
Borderline tumours must be distinguished according to the WHO
classification and categorised into subtypes. This should
include the categorisation of any existing implants (invasive –
non invasive) as well as information about microinvasion. |
CC |
184
|
11.2. |
Careful surgical staging is necessary and, in addition to
complete removal of the tumour (including bilateral
salpingo-oophorectomy), should include inspection of the abdomen
with peritoneal wash cytology, resection of all abnormal areas,
peritoneal biopsies of unremarkable areas and
omentectomy.In mucinous borderline tumours, metastasis
of extraovarian tumours must be excluded; an appendectomy is
necessary to exclude a primary appendiceal neoplasm. |
B |
2+ |
Primary studies: 185, 186, 187, 188, 189
|
11.3. |
There are some indications that performing cystectomy instead of
ovarectomy and carrying out a fertility-preserving procedure
instead of bilateral salpingo-oophorectomy is associated with
higher rates of recurrence. |
ST |
2+ |
Primary studies: 190
|
11.4. |
If the patient wishes to have children/wishes to preserve
endocrine functions, a fertility-preserving procedure
can be carried out. The patient must be informed about the
increased risk of recurrence associated with this procedure. |
0 |
2+ |
Guidelines: 2
Primary studies:
191
|
11.5. |
There is no persuasive evidence for the effectiveness of adjuvant
therapy for the treatment of borderline tumours. |
ST |
1+ |
Guidelines: 2
Primary studies:
192
|
11.6. |
Patients with borderline tumours must not receive adjuvant
therapy. |
A |
1+ |
Guidelines: 2
Primary studies:
192
|