2024 Volume 42 Issue 2 Pages 234-240
Synopsis: We report a rare case of endometrioid borderline ovarian tumor that underwent conservative surgery, and a baby was delivered. The patient was a 24-year-old woman. Initially, a laparoscopic right ovarian cystectomy was performed due to the rapture of an endometrial cyst. Six months later, a solid left ovarian tumor raised concerns of malignancy, resembling a tumor-like clear cell carcinoma. Subsequently, a left salpingo-oophorectomy was conducted during laparotomy for diagnosis, confirming an endometrioid borderline ovarian tumor upon pathological examination. Radical surgery was avoided due to the patient's desire to have a baby. She received in vitro fertilization and embryo transfer (IVF-ET), and an endometrial polyp was identified by hysteroscopy during fertility assessment, necessitating Transcervical resection (TCR). After two TCR procedures, a successful pregnancy ensued, and she delivered a baby. Long-term follow-up has revealed no tumor recurrence. Generally, endometrioid borderline ovarian tumors exhibit good prognoses. However, achieving pregnancy can be challenging due to coexisting endometriosis and endometrial lesions. Therefore, a proactive approach to fertility management and meticulous evaluations of endometrial lesion is imperative in such cases.
