Borderline Mucinous Ovarian Tumours: Presenting a Treatment Challenge in Young Females

Abstract

Background: Borderline ovarian tumors have both benign and malignant characteristics with no stromal invasion. These tumours are found in the reproductive age. These tumours are unilateral in 80% cases and bilateral in 20% cases. Serous and mucinous subtypes are common. The prognosis of patients with borderline tumours is good with a relapse rate of 5-33%. We are reporting three cases of borderline ovarian neoplasm, who presented with abdominal pain and mass abdomen. The first girl was 13 years old with 20×15cm size nontender pelvic mass with normal Ca-125 level. The second girl aged 15 years presented with 15×10cm mass. Ca-125 was 48 IU. Both underwent oophorectomy and histopathology report showed a mucinous borderline tumor. Third patient 33 years old had 18×10cm mass in pelvis. She underwent hysterectomy with bilateral salpingo-oophorectomy as her family was complete. Histopathology showed mucinous borderline tumour with invasive carcinoma. Patients were followed up in OPD. One patient lost follow up.