Laparoscopic surgical approach for a borderline ovarian tumour of more than 25 cm

Abstract

Guidelines for surgical treatment of borderline ovarian tumours include peritoneal washing, hysterectomy with bilateral salpingo-oophorectomy, omentectomy and multiple peritoneal biopsy. Several authors indicate the laparoscopy as possible standard approach to treat women with benign ovarian tumours. We describe a 58-year-old menopausal woman consulting for bleeding and abdominal volume; pelvic pain occurred occasionally. Magnetic resonance and ultrasound evidenced a big ovarian tumour as more than 23 cm in diameter with an intracystic mass of 5 cm. Laparoscopic treatment was exhaustively performed. No surgical complication occurred and no treatment was necessary after surgery. © Springer-Verlag 2010.