Prophylactic oophorectomy in ovarian cancer prevention.
OBJECTIVE
To evaluate prophylactic oophorectomy in the prevention of ovarian cancer.


METHODS
Between 1970 and 1990, 5262 hysterectomies were performed at Areteion Hospital, Athens.


RESULTS
Ovarian cancer was subsequently diagnosed in 520 women (9.9%). The mean interval from hysterectomy to diagnosis of ovarian cancer was 7.2 years. If prophylactic bilateral oophorectomy had been practiced routinely in women undergoing hysterectomy at age 40 or above, 9.4% of cases would have been prevented.


CONCLUSIONS
We recommend bilateral oophorectomy for all women with a positive family history of ovarian carcinoma and for all women undergoing hysterectomy after the age of 40. The decision for prophylactic oophorectomy as a complementary procedure to other indicated gynecologic surgeries should depend on the individual patient and her ability to comply with lifelong estrogen replacement therapy.
Kontoravdis
A
A
2nd Department of Obstetrics and Gynecology, University of Athens, Areteion Hospital, Greece.
Kalogirou
D
D
Antoniou
G
G
Kontoravdis
N
N
Karakitsos
P
P
Zourlas
P A
PA
D000328:Adult; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D007045:Hysterectomy, Vaginal; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D010052:Ovariectomy / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014594:Uterine Neoplasms / Q000601:surgery