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Ovarian preservation in adenocarcinoma of the uterine cervix
BACKGROUND: An upward trending incidence in cervical adenocarcinoma (ADC) has been reported in many countries. Because non-squamous histology has been associated with increased risk of ovarian metastases (OM), bilateral oophorectomy is commonly performed for ADC without due consideration for ovarian...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525268/ https://www.ncbi.nlm.nih.gov/pubmed/28738842 http://dx.doi.org/10.1186/s13048-017-0339-y |
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author | Zhou, Jiansong Chen, Yuanyuan Zhang, Ping Lou, Hanmei |
author_facet | Zhou, Jiansong Chen, Yuanyuan Zhang, Ping Lou, Hanmei |
author_sort | Zhou, Jiansong |
collection | PubMed |
description | BACKGROUND: An upward trending incidence in cervical adenocarcinoma (ADC) has been reported in many countries. Because non-squamous histology has been associated with increased risk of ovarian metastases (OM), bilateral oophorectomy is commonly performed for ADC without due consideration for ovarian preservation, degrading the quality of life for young premenopausal patients. METHODS: Subjects were patients with International Federation of Gynecology and Obstetrics (FIGO) stage I–IIB cervical ADC who underwent radical hysterectomy, including pelvic lymphadenectomy and bilateral salpingo-oophorectomy at our institution between Oct. 2006 and Sept. 2014. Clinicopathologic variables were studied by univariate and multivariate analyses. RESULTS: Of the 312 patients enrolled in the study, 14 patients (4.5%) developed OM. Multivariate analysis revealed that uterine corpus involvement (odds ratio [OR] 5.178, p = 0.019), parametrial involvement (OR 14.125, p = 0.005) and vaginal infiltration (OR 4.167, p = 0.047) were independently associated with metastasis. OM had no effect on either relapse-free survival (95% confidence interval [CI]: 0.077–4.095, p = 0.57) or overall survival (95% CI: 0.893–9.820, p = 0.076). CONCLUSION: Cervical ADC is associated with an increased risk of OM. Ovarian preservation surgery in cervical ADC may be safe for young patients at an early FIGO stage without deep stromal, endometrial or perineural invasion, and particularly without uterine corpus invasion, parametrial involvement and infiltration into the vagina. |
format | Online Article Text |
id | pubmed-5525268 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-55252682017-07-26 Ovarian preservation in adenocarcinoma of the uterine cervix Zhou, Jiansong Chen, Yuanyuan Zhang, Ping Lou, Hanmei J Ovarian Res Research BACKGROUND: An upward trending incidence in cervical adenocarcinoma (ADC) has been reported in many countries. Because non-squamous histology has been associated with increased risk of ovarian metastases (OM), bilateral oophorectomy is commonly performed for ADC without due consideration for ovarian preservation, degrading the quality of life for young premenopausal patients. METHODS: Subjects were patients with International Federation of Gynecology and Obstetrics (FIGO) stage I–IIB cervical ADC who underwent radical hysterectomy, including pelvic lymphadenectomy and bilateral salpingo-oophorectomy at our institution between Oct. 2006 and Sept. 2014. Clinicopathologic variables were studied by univariate and multivariate analyses. RESULTS: Of the 312 patients enrolled in the study, 14 patients (4.5%) developed OM. Multivariate analysis revealed that uterine corpus involvement (odds ratio [OR] 5.178, p = 0.019), parametrial involvement (OR 14.125, p = 0.005) and vaginal infiltration (OR 4.167, p = 0.047) were independently associated with metastasis. OM had no effect on either relapse-free survival (95% confidence interval [CI]: 0.077–4.095, p = 0.57) or overall survival (95% CI: 0.893–9.820, p = 0.076). CONCLUSION: Cervical ADC is associated with an increased risk of OM. Ovarian preservation surgery in cervical ADC may be safe for young patients at an early FIGO stage without deep stromal, endometrial or perineural invasion, and particularly without uterine corpus invasion, parametrial involvement and infiltration into the vagina. BioMed Central 2017-07-24 /pmc/articles/PMC5525268/ /pubmed/28738842 http://dx.doi.org/10.1186/s13048-017-0339-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Zhou, Jiansong Chen, Yuanyuan Zhang, Ping Lou, Hanmei Ovarian preservation in adenocarcinoma of the uterine cervix |
title | Ovarian preservation in adenocarcinoma of the uterine cervix |
title_full | Ovarian preservation in adenocarcinoma of the uterine cervix |
title_fullStr | Ovarian preservation in adenocarcinoma of the uterine cervix |
title_full_unstemmed | Ovarian preservation in adenocarcinoma of the uterine cervix |
title_short | Ovarian preservation in adenocarcinoma of the uterine cervix |
title_sort | ovarian preservation in adenocarcinoma of the uterine cervix |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525268/ https://www.ncbi.nlm.nih.gov/pubmed/28738842 http://dx.doi.org/10.1186/s13048-017-0339-y |
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