Background: Low malignant potential ovarian tumors are not very common tumors encountered by gynecologists. With advancement in surgery, fertility sparing & minimally invasive surgery is the trend in modern Gynec-oncology. Complete removal of all visible tumors is the cornerstone in management of these tumors. This case series outlines the recent literature& oncologic concerns with emphasis on mode of surgery, fertility sparing surgery and their outcomes.

Case Series: We present three cases of Low malignant potential tumors in young who reported to our Gynec-oncology OPD with Large ovarian masses. Our first patient 26 years old young nulligravida presented with pain abdomen with vomiting with large unilateral ovarian mass of 20 cms size. All tumor markers were normal. Second patient was a 32 years old nulligravida who presented with abdominal distension & generalized weakness of 4 months duration with large right ovarian mass 17cms size & a smaller ovarian mass 4cms size in other ovary. Third case was a young 27 years old nulligravidas with pain abdomen & a large 30 cms size Right ovarian mass with all tumor markers normal except marginally raised CA125 of 37 IU/ml. All patients underwent fertility sparing surgery in view of need for future fertility. First patient had successful spontaneous conception, second patient had infertility post chemotherapy & conceived through IVF, had recurrence & underwent completion surgery & third patient is trying for spontaneous conception in near future.

Conclusion: To conclude BOTs are uncommon ovarian tumors with excellent prognosis and varied treatment options. Surgery is the main treatment modality. Proper staging is done whenever surgery is attempted. Young patients with early stage disease can safely undergo fertility sparing surgery. Patients undergoing spontaneous conception are usually disease free whereas recurrence is more common with use of ovulation inducing agents &IVF

 

Keywords: Low malignant potential ovarian tumor, Fertility sparing surgery