BORDERLINE OVARIAN CANCER | aqorn learning | @rahat2021 | FCPS | MCPS | MRCOG | TOACS | скачать в хорошем качестве

BORDERLINE OVARIAN CANCER | aqorn learning | @rahat2021 | FCPS | MCPS | MRCOG | TOACS |

@rahat2021 Borderline ovarian tumors, initially described as semi-malignant by Taylor in 1929, were officially classified by the International Federation of Gynecology and Obstetrics and the World Health Organization in 1970. There are two primary subtypes: serous and mucinous, with serous tumors being more common and believed to originate from the germinal epithelium, while mucinous tumors are thought to originate from the appendix. The exact cause of this disease remains unclear due to limited cases and research, but there may be links to factors like oral contraceptive use, age at first pregnancy, menstrual history, smoking, and family history of ovarian cancer. In the United States, 1.8% of women will develop some form of ovarian cancer in their lifetime, with borderline ovarian tumors classified as benign. Most patients (around 75%) are diagnosed at an early stage, with staging based on the FIGO classification of ovarian cancer. The prognosis for stage I patients is excellent, with a 5-year survival rate approaching 100%. Stage II-IV patients have a different prognosis, with increased stage associated with a worse outcome. Fertility-sparing surgery is considered for stage I patients, with no statistical difference in recurrence found between surgical approaches. Patients attempting pregnancy after such surgery have achieved a 50% conception rate. Diagnostic tools include cancer antigen 125, transvaginal color Doppler ultrasonography, and computed tomography scanning. Treatment involves surgical tumor removal and biopsies, but postoperative management remains uncertain. Various chemotherapy regimens have been explored, but evidence is insufficient to determine the best approach. Hysterectomy and oophorectomy may be avoided for patients wishing to preserve fertility, with comprehensive staging being essential. Overall, complications mostly arise from surgery, therapy, or recurrence.    • Плейлист   YouTube channel    / @rahatq2021   Hi, This YouTube channel has been created to help postgraduate trainees in Obstetrics and Gynecology learn and develop clinical skills for history taking, communication, counselling, quality assurance, critical reading of the literature.