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경계성 난소종양 치료의 최신 지견

Current management of borderline ovarian tumor

주웅|이수윤
대한산부인과학회 (Korean Soceity of Obstetrics and Gynecology)|2009.09|Obstetrics & Gynecology Science|제52권 제9호|pp. 895-902

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참고문헌

키워드

Management치료Borderline ovarian tumor경계성 난소종양
주제분류산부인과학

초록

경계성 난소종양 치료로는 철저한 외과적 병기설정 이후 정기적인 추적 관찰을 하는 방법이 행해지고 있다. 최근의 경향은 예후가 양호할 것으로 예측되는 젊은 여성 환자들에게 보존적 방법의 치료를 시행하는 것인데, 이러한 보존적 치료의 안전성이 완전히 확립된 것은 아니다. 본 종설은 최근에 발표된 연구들을 중심으로 경계성 난소종양의 치료에 대한 최신 지견을고찰 해 본다. 재발 위험을 가늠하기 위해 외과적 병기설정은 필수적인데, 가임력을 보존하는 수술의 경우라도 자궁절제술과 반대측 난소절제술을 제외한 적절한 외과적 병기설정은 필요하다. 1기 환자의 경우 가임력을 보존하는 수술을 시행할 수 있으며, 그 이상 진행된 환자에게는 근치적 수술이 필요하다. 수술 후 보조화학요법이나 복강경하 병기설정의 역할은 현재까지 확실하지 않다.

Abstract

The mainstream in management of borderline ovarian tumor has been thorough surgical staging and close observation. Recent trends prefer conservative management especially for the young, reproductive aged women due to the good prognosis profile and wide use of laparoscopy, although the safety for oncologic outcome of conservative treatment has not been fully established. The present article updates published literatures respecting management of borderline ovarian tumor. A proper staging procedure is necessary for all the patients to estimate the risk of recurrence. Fertility-sparing surgery is a tolerable option in young patients with stage I disease. Patients with advanced-stage disease or who are finished childbearing are treated with radical surgery. The roles of adjuvant chemotherapy or laparoscopic staging are not definite up to now.

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