title: [Transposition of ovaries during radical hysterectomy for cervical cancer].
abstract: 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.
authors.affiliation: Altalános Orvostudományi Kar, I. Szülészeti és Nógyógyászati Klinika, Semmelweis Egyetem, Budapest.
authors.forename: Norbert
authors.initials: N
authors.lastname: Sipos
authors.forename: András
authors.initials: A
authors.lastname: Szánthó
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Csapó
authors.forename: János
authors.initials: J
authors.lastname: Bálega
authors.forename: Attila
authors.initials: A
authors.lastname: Demeter
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Papp
mesh_terms: 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*