ISSN:
1437-7772
Keywords:
Key words Adenocarcinoma of the uterine cervix
;
Ovarian conservation
;
Ovarian transposition
;
Ovarian recurrence
;
Prognosis
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background. Our study had two aims: (1) to evaluate the effect of ovarian conservation on the prognosis of patients with adenocarcinoma of the cervix and (2) to determine the method by which – and the stage up to which – ovaries can be conserved without adversely affecting a favorable prognosis. Methods. We performed either radical hysterectomy with lymphadenectomy or simple hysterectomy on 70 patients in stages 0 to IIIab of adenocarcinoma of the cervix (International Federation of Gynecology and Obstetrics). The postmenopausal patients underwent oophorectomy, while the ovaries of premenopausal patients were left in situ or transposed laterally. We then followed the subsequent condition of the patients to see whether or not ovarian conservation affected their ability to survive for up to 5 years. Results. We found no evidence of ovarian metastasis among patients in stages 0 to IIab of the disease, while three cases were found in patients whose carcinoma was in stage IIIab; 94% of the patients whose ovaries had been conserved survived for 5 years; of the patients who underwent oophorectomy, 100% survived. However, the difference was not significant. Two patients (stages Ib and IIb) suffered a recurrence of cancer in the transposed ovaries: at the time of the initial surgery the lymph nodes in both patients had been positive. Conclusions. If patients with adenocarcinoma of the cervix are operated on during stages 0 to Ia of the disease, ovarian conservation will not affect survival; ovaries can be left in situ or can be transposed laterally without affecting the survival prognosis.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s101470050089
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