August 17, 2023
The role of staging surgery for borderline tumors is still controversial. Staging operations included bilateral salpingectomy, hysterectomy, abdominal and pelvic lavage, omentectomy, peritoneal biopsy and lymphadenectomy. Those who support staging surgery believe that frozen sections are unreliable, and if cancer is found, it is best to make a clear diagnosis, staging surgery, and then carry out appropriate adjuvant treatment. Opponents of staging surgery believe that staging surgery does not improve the survival rate of patients, on the contrary, it may also increase surgical mortality. Winter and colleagues analyzed 93 patients with borderline tumors and found that surgical staging took up 17% of the time, while retroperitoneal exploration was only 6%. In addition, there was no significant difference in the total survival rate and recurrence rate between the patients who underwent staging operation and those without staging operation.
