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

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...

Full description

Saved in:
Bibliographic Details
Main Authors: Karthiga Natarajan, Marilyn Boo, Samir A. Saidi
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Gynecologic Oncology Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578925001420
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849405361752113152
author Karthiga Natarajan
Marilyn Boo
Samir A. Saidi
author_facet Karthiga Natarajan
Marilyn Boo
Samir A. Saidi
author_sort Karthiga Natarajan
collection DOAJ
description 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.
format Article
id doaj-art-b17f234f6a1f495db298de41a58ea447
institution Kabale University
issn 2352-5789
language English
publishDate 2025-10-01
publisher Elsevier
record_format Article
series Gynecologic Oncology Reports
spelling doaj-art-b17f234f6a1f495db298de41a58ea4472025-08-20T03:36:41ZengElsevierGynecologic Oncology Reports2352-57892025-10-016110181710.1016/j.gore.2025.101817Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case seriesKarthiga Natarajan0Marilyn Boo1Samir A. Saidi2School of Medicine, The University of Sydney, Australia; Corresponding author at: The University of Sydney, Camperdown NSW 2006, Australia.Chris O’Brien Lifehouse, AustraliaSchool of Medicine, The University of Sydney, Australia; Chris O’Brien Lifehouse, AustraliaBorderline 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.http://www.sciencedirect.com/science/article/pii/S2352578925001420
spellingShingle Karthiga Natarajan
Marilyn Boo
Samir A. Saidi
Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case series
Gynecologic Oncology Reports
title Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case series
title_full Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case series
title_fullStr Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case series
title_full_unstemmed Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case series
title_short Use of intraoperative ultrasound in resection of early-stage borderline ovarian tumors: A case series
title_sort use of intraoperative ultrasound in resection of early stage borderline ovarian tumors a case series
url http://www.sciencedirect.com/science/article/pii/S2352578925001420
work_keys_str_mv AT karthiganatarajan useofintraoperativeultrasoundinresectionofearlystageborderlineovariantumorsacaseseries
AT marilynboo useofintraoperativeultrasoundinresectionofearlystageborderlineovariantumorsacaseseries
AT samirasaidi useofintraoperativeultrasoundinresectionofearlystageborderlineovariantumorsacaseseries