[Transposition of ovaries during radical hysterectomy for cervical cancer].
BACKGROUND
422 radical hysterectomies were performed for cervical cancer between 1st July 1990. and 31st December 2000. in the 1st Department of Obstetrics and Gynecology, Semmelweis Medical University. At least one of the ovaries was conservated and suspended in 21 cases.


OBJECTIVE
The aim of this study is to preserve ovaries guaranteeing natural oestrogen production for young patients suffering in early stage cervical cancer, and to prove appropriate efficacy of their method. PATIENTS/METHOD(S): According to present examinations transposition of ovary (21 patients) and radiotherapy made as a part of the protocol can only slightly influence the endocrine function of ovary.


RESULTS
Only in one case of 21 a hormonal substitution was needed for treating menopausal syndrome. Studying histopathologically ovaries removed during 422 radical hysterectomies the authors could not find any metastasis given by early stage (I/A2 or I/B) cervical cancer. Following and controlling their patients after ovarial transpositions for a long period they could not observe any pathological ovarial disorder (cyst).


CONCLUSIONS
According to the data of international literature the authors conclude, that transposition of ovaries during radical hysterectomy for well-selected, younger aged, early staged cervical cancer cases can result only a low risk, but much better quality of life for the patients.
Sipos
Norbert
N
Altalános Orvostudományi Kar, I. Szülészeti és Nógyógyászati Klinika, Semmelweis Egyetem, Budapest.
Szánthó
András
A
Csapó
Zsolt
Z
Bálega
János
J
Demeter
Attila
A
Papp
Zoltán
Z
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008594:Menopause, Premature; D008875:Middle Aged; D009367:Neoplasm Staging; D010053:Ovary / Q000528:radiation effects / Q000601:surgery*; D011788:Quality of Life; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*