The Effectiveness and Complications of Ovarian
Transposition in Young Women with Cervical Cancer
Ľubušký M.1, Kudela M.1, Ľubušký D.1, Machač Š.1, Procházka M.1, Míčková I.2
1Gynekologicko-porodnická klinika LF UP a FN, Olomouc, přednosta prof. MUDr. M. Kudela, CSc. 2Ústav lékařské genetiky a fetální medicíny LF UP a FN, Olomouc, přednosta prof. MUDr. J. Šantavý, CSc. |
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Summary:
Objective: To discuss the indications, effectiveness, and complications of ovarian transposition
before pelvic irradiation for cervical cancer.
Design: A review article.
Setting: Department of Obstetric and Gynecology, University Hospital, Olomouc.
Subject and Method: A review from literature and bibliographic databases.
Conclusion: Ovarian transposition gives an option for preserving ovarian function in patients
treated by radiosurgical combination. In young women preservation of ovarian function by means
of ovarian transposition brings them some positive benefi ts compared to conventional HRT.
The main risk of ovarian transposition – a possibility of ovarian or distant metastasis – increases
particularly depending on clinical stage and histopathological type of the tumor. However the
risk of ovarian metastasis is very low for patients with squamosus cell carcinoma of the cervix
in stages IA-B.
Key words:
cervical cancer, ovarian transposition, function preservation, ovarian metastasis,
postoperative radiotherapy
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