[Significance of prophylactic ovariectomy at the time of uterus extirpation for prevention of an ovarian carcinoma].
There is no general recommendation with regard to a certain age, after which prophylactic oophorectomy should be performed at the time of hysterectomy. We investigated how many patients who were treated for ovarian cancer at the University Clinic of Obstetrics and Gynecology in Graz between 1980 and 1989, had a history of hysterectomy because of benign uterine disease. In 42 of 382 patients with ovarian cancer (11%), a hysterectomy had been performed 2 to 43 years before the diagnosis of ovarian cancer. 12 of the 42 patients with ovarian cancer and previous hysterectomy (29%) additionally had unilateral oophorectomy because of benign tumors of the ovary. In 79% of patients, hysterectomy was carried out before the 45th year of age and in 86% of patients before the 50th year of age. Thus, prophylactic extirpation of sound ovaries before the age of 50 years does not seem to be generally indicated in patients with retained ovarian function who undergo hysterectomy. However, the rare genetically determined ovarian cancer is the exception to the rule.
Petru
E
E
Geburtshilflich-gynäkologischen Klinik, Universität Graz.
Woltsche
M
M
Lahousen
M
M
Pickel
H
H
Heydarfadai
M
M
Stettner
H
H
D000328:Adult; D000368:Aged; D000375:Aging / Q000502:physiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery; D010051:Ovarian Neoplasms / Q000503:physiopathology / Q000517:prevention & control*; D010052:Ovariectomy; D012307:Risk Factors
Bedeutung der prophylaktischen Ovarektomie anlässlich einer Uterus-exstirpation zur Vermeidung eines Ovarialkarzinoms.