卵巣明細胞境界悪性腫瘍に対し二期的に腹腔鏡下で基本術式（卵巣がん治療ガイドラインによる）相当の手技を施行した1例

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Laparoscopy has become the standard approach for the treatment of women with benign ovarian tumors. However, laparoscopy with regards to the management of women with borderline ovarian tumors (BOTs) remains controversial.<BR> Here we describe a case of BOT treated by laparoscopic restaging surgery. A 56 year-old woman, para 2, had a left ovarian mass which was suspected to be an endometriotic cyst. There was no solid part in the mass on imaging studies. She underwent laparoscopic left salpingo-oophorectomy and a pathological examination showed a clear cell borderline tumor in the left ovary. After she gave informed consent for further treatments, she underwent laparoscopic restaging surgery (total laparoscopic hysterectomy, right salpingo-oophorectomy, infracolic omentectomy and washing cytology) 3 months later. Finally her surgical stage was diagnosed as Ic (based on FIGO classification).<BR> Laparoscopy may become an alternative to laparotomy for the treatment of BOTs. The safety, efficacy and potential benefits of this approach in BOT restaging surgery should be evaluated in further trials.
日本産科婦人科内視鏡学会の論文