Ovarialtumoren pp 167-180 | Cite as
The Identification and Prognosis of Borderline Epithelial Tumors
Abstract
There is a group of epithelial neoplasms of the ovary histologically and clinically intermediate between cystadenoma and cystadenocarcinoma. Earlier reports have emphasized the favorable prognosis of neoplasms within the group by applying to the diagnosis qualifying terms, such as “proliferative”, “borderline”, “potentially malignant”, and “low malignant potential” [4, 11, 12, 26, 28, 29]. Others have classified them as well-differentiated or grade I carcinoma [5, 14]. The word “carcinoma”, however, usually implies a poor prognosis and a need for aggressive therapy. Also, a large proportion of the proliferative tumors arise in relatively young women and to conserve reproductive function some clinicians recommend that the word “carcinoma” not be appended to the diagnosis because so few stage I tumors progress. To avoid these implications, the term “carcinoma” is abandoned in referring to proliferating neoplasms with low malignant potential. The terms “borderline”, “proliferative tumor”, and “tumor of low malignant potential” are used synonymously.
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