Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case series

IF 1.3 Q3 OBSTETRICS & GYNECOLOGY

Gynecologic Oncology Reports Pub Date : 2025-07-28 DOI:10.1016/j.gore.2025.101817

Karthiga Natarajan , Marilyn Boo , Samir A. Saidi

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引用次数: 0

Abstract

Borderline ovarian tumors (BOTs) commonly occur in women of reproductive age. For patients desiring fertility preservation, cystectomies are recommended as healthy ovarian tissue is spared. However, intraoperative identification of small BOTs can be challenging. Intraoperative ultrasound is a novel technique that enhances the visualization of anatomical structures, potentially allowing for a more precise excision of the ovarian lesion, which maximizes the preservation of healthy ovarian tissue. Although it has clear advantages, the literature on the use of intraoperative ultrasound in gynecological surgeries remains limited.

Cases: We describe a case series of four women aged between 20 and 33 years old who underwent ultrasound-guided laparoscopic cystectomy for early-stage BOTs.

Discussion: We demonstrate that intraoperative ultrasound in laparoscopic resection of early-stage BOTs improves visualization of the ovarian tissue, thereby minimizing the amount of healthy ovarian tissue excised, which optimizes fertility preservation in patients.

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术中超声在早期交界性卵巢肿瘤切除术中的应用：一个病例系列

交界性卵巢肿瘤（BOTs）常见于育龄妇女。对于希望保留生育能力的患者，建议切除膀胱，因为可以保留健康的卵巢组织。然而，术中小bot的识别可能具有挑战性。术中超声是一种新颖的技术，增强了解剖结构的可视化，有可能更精确地切除卵巢病变，从而最大限度地保留健康的卵巢组织。虽然术中超声在妇科手术中的应用有明显的优势，但是关于术中超声在妇科手术中的应用的文献仍然有限。病例：我们描述了4例年龄在20至33岁之间的女性，她们接受了超声引导下的早期bot腹腔镜膀胱切除术。讨论：我们证明术中超声在腹腔镜切除早期bot时可以提高卵巢组织的可视性，从而最大限度地减少健康卵巢组织的切除量，从而优化患者的生育能力保存。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gynecologic Oncology Reports OBSTETRICS & GYNECOLOGY-

CiteScore

2.00

自引率

0.00%

发文量

183

审稿时长

41 days

期刊介绍： Gynecologic Oncology Reports is an online-only, open access journal devoted to the rapid publication of narrative review articles, survey articles, case reports, case series, letters to the editor regarding previously published manuscripts and other short communications in the field of gynecologic oncology. The journal will consider papers that concern tumors of the female reproductive tract, with originality, quality, and clarity the chief criteria of acceptance.