Diagnosis and Management of Borderline Ovarian Tumors: A Case Report

Borderline ovarian tumors (BOTs) primarily affect women in childbearing years, which raises a concern for fertility in these women. Along with that, BOTs are hard to diagnose because they are mostly devoid of any symptoms. This case report addresses these challenges and evaluates the importance of suspecting BOT and opting for fertility preservation surgery to improve the patient’s life expectancy while preserving fertility at the same time.

Case.

In this report, we present the case of a 27-year-old female patient who presented with an ovarian tumor for the last 1.5 years, which was earlier misdiagnosed as Endometrioma or Complex ovarian cyst. After the required assessments, there was a suspicion of malignancy; therefore, the patient was counseled for suspected cancer and fertility preservation surgery. The surgery was successful, and the right ovary of the patient was preserved, which helped in preserving the patient’s fertility. A sample of tissues during surgery was taken for biopsy. Biopsy results showed that the left ovary had borderline mucinous cystadenoma with micro-invasion, and the right ovary had mucinous cystadenoma. This case report emphasizes the importance of suspecting BOT while evaluating ovarian tumors and going for fertility preserving conservative surgery to preserve patient’s fertility and improve life expectancy.

Most of the BOT cases are asymptomatic; and hence, they are easily misdiagnosed. Early consideration of BOT and opting for conservative surgeries, if possible, can not only save the life of the patient but also preserve her fertility.