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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 03

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Ginecol Obstet Mex 2022; 90 (03)

The intraoperative study in borderline ovarian tumors. Characteristics that can impact the diagnosis

Camarillo-Quesada AE, Maytorena-Córdova G, Olguín-Cruces VA, Quintero-Rodríguez OE, Cota-Vizcarra AE, Sosa-Reyes AA

Language: Spanish
References: 15
Page: 234-240
PDF size: 143.61 Kb.


ABSTRACT

Objective: To determine the percentage of concordance of the transoperative study with the definitive diagnosis of borderline ovarian tumors.
Materials and Methods: Observational, cross-sectional, retrospective and des-criptive study performed at the Hospital de Gineco Obstetricia 4 Luis Castelazo Ayala, Mexico City, in patients operated between January 1, 2018 and December 31, 2020 for an abdominopelvic tumor, with transoperative examination of borderline ovarian tumor. The transoperative study was evaluated as a diagnostic test and the definitive diagnosis as a reference standard to establish the concordance of the former with the definitive diagnosis of borderline ovarian tumors.
Results: Sixty-eight borderline ovarian tumors were analyzed, between those diagnosed in the transoperative study and the definitive one. We found 59 cases with definitive diagnosis of borderline ovarian tumor. The concordance with the transoperative study was 63.2%. Two of 68 patients (2.9%) were overdiagnosed and 23 of 68 (33.8%) were underdiagnosed.
Conclusions: The concordance obtained is like that reported in the international literature. Mucinous tumors larger than 10 cm are most frequently underdiagnosed due to their extension.


REFERENCES

  1. Hauptmann S, Friedrich K, Redline R, Avril S. Ovarian borderline tumors in the 2014 WHO classification: evolving concepts and diagnostic criteria. Virchows Arch 2017; 470 (2): 125-42.

  2. Tropé CG, Kaern J, Davidson B. Borderline ovarian tumours. Best Pract Res Clin Obstet Gynaecol. 2012;26(3):325-336.

  3. Hasdemir SP, Guvena T. Borderline ovarian tumors: A contemporary review of clinicopathological characteristics, diagnostic methods and therapeutic options. J BUON. 2016;21(4):780-786.

  4. Seong SJ, Kim DH, Kim MK, Song T. Controversies in borderline ovarian tumors. J Gynecol Oncol. 2015;26(4):343-349.

  5. Flicek KT, VanBuren W, Dudiak K, Lahkman Y, Chen LW, Butler K, et al. Borderline epithelial ovarian tumors: what the radiologist should know. Abdom Radiol (NY). 2021;46(6)2350-2366.

  6. May J, Skorupskaite K, Congiu M, Ghaoui N, Walker GA, Fegan S, et al. Borderline Ovarian Tumors: Fifteen Years. Experience at a Scottish Tertiary Cancer Center. Int J Gynecol Cancer. 2018;28(9):1683-1691.

  7. Yilmaz E, Sahin N, Koleli I, Melekoglu R, Tanrikut E, Faydali S, et al. Retrospective Analysis of Borderline Tumors: Outcomes at a single center. Acta Clin Croat. 2019;58(1):29-36.

  8. Gershenson DM. Management of borderline ovarian tumours. Best Pract Res Clin Obstet Gynaecol. 2017;41:49-59.

  9. Ureyen I, Turan T, Cirik DA, Tasci T, Boran N, Bulbul D, et al. Frozen section in borderline ovarian tumors: is it reliable? Eur J Obstet Gynecol Reprod Biol. 2014;181:115-118.

  10. Maheshwari A, Gupta S, Kane S, Kulkarni Y, Goyal BK, Tongaonkar HB. Accuracy of intraoperative frozen section in the diagnosis of ovarian neoplasms: experience at a tertiary oncology center. World J Surg Oncol. 2006;4(12):1-4.

  11. Shah JS, Mackelvie M, Gershenson DM, Ramalingam P, Kott MM, Brown J, et al. Accuracy of Intraoperative Frozen Section Diagnosis of Borderline Ovarian Tumors by Hospital Type. J Minim Invasive Gynecol. 2019;26(1):87-93.

  12. Buza N. Frozen Section Diagnosis of Ovarian Epithelial Tumors: Diagnostic Pearls and Pitfalls. Arch Pathol Lab Med. 2019;143(1):47-64.

  13. Torres-Lobatón A, Jacobo-Gonzalez CA, Morgan-Ortiz F. Tumores limítrofes de ovario (experiencia con 50 casos). Gaceta Mexicana de Oncología. 2016;15(2):70-77.

  14. Tempfer CB, Polterauer S, Bentz EK, Reinthaller A, Hefler LA. Accuracy of intraoperative frozen section analysis in borderline tumors of the ovary: a retrospective analysis of 96 cases and review of the literature. Gynecol Oncol. 2007;107(2):248-52.

  15. Huang Z, Li L, Li CC, Ngaujah S, Yao S, Chu R, et al. Diagnostic accuracy of frozen section analysis of borderline ovarian tumors: a meta-analysis with emphasis on misdiagnosis factors. J Cancer. 2018;9(16):2817-2824.




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