Conservative surgery for stage IC2 mucinous borderline ovarian tumor: a five-year follow-up case report

Authors

  • Tofan Widya Utami Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Hiro Hidaya Danial Nasution Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Arisda Oktalia Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Fitriyadi Kusuma Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Gatot Purwoto Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

DOI:

https://doi.org/10.13181/mji.cr.257637

Keywords:

fertility preservation, ovarian neoplasms, salpingo-oophorectomy

Abstract

Mucinous borderline ovarian tumors (MBOTs) represent a significant portion of all borderline ovarian tumors, including variants such as microinvasion and intraepithelial carcinoma, which have a higher recurrence risk. Conservative surgery is recommended for patients with MBOTs seeking fertility preservation, despite remaining a debated option to reduce recurrency. This case highlighted successful MBOT management using conservative surgery with unilateral salpingo-oophorectomy, providing insights into optimal recurrence control. A 30-year-old woman presented with abdominal enlargement, with imaging revealed a large right ovarian mass suspected to be malignant. A left salpingo-oophorectomy was performed, with final histopathology confirming MBOTs with microinvasion and intraepithelial carcinoma. No malignancy was found in the peritoneal fluid, and no adjuvant therapy was given due to fertility preservation reasons. No recurrence after 5 years of follow-up. This report highlights the potential of conservative surgery as a fertility-preserving option for young patients with stage IC2 MBOTs.

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Published

2025-06-26

How to Cite

1.
Utami TW, Nasution HHD, Oktalia A, Kusuma F, Purwoto G. Conservative surgery for stage IC2 mucinous borderline ovarian tumor: a five-year follow-up case report. Med J Indones [Internet]. 2025 Jun. 26 [cited 2025 Jul. 7];34(2):127-31. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/7637

Issue

Section

Case Report/Series

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