Recurrent borderline ovarian tumours after conservative management in women wishing to retain their fertility

Objective: To evaluate the rate of recurrence after conservative treatment of Stage 1 borderline ovarian tumors. Methods: Retrospective case note review of all women with borderline ovaria n tumours diagnosed at Aberdeen, U.K. and Ioannina, Greece between 1981-199 3. Outcome measures comprised initial surgery, stage of disease, histologic al type, pregnancy rate, recurrence rate and disease-free interval. Results: Conservative surgery for borderline tumours in young women permitt ed high conception rates. Recurrence of tumour was high in this group, 71%, and presented late. Conclusion: Prolonged intensive follow-up is required for women treated con servatively for borderline malignant ovarian tumours.