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Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience
In early-stage cervical cancer, ovarian metastasis is relatively rare, and ovarian transposition is often performed during surgery. Although rare, the diagnosis and surgical approach for recurrence at transposed ovaries are challenging. This study focused on the diagnosis and surgical management of...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600108/ https://www.ncbi.nlm.nih.gov/pubmed/36290840 http://dx.doi.org/10.3390/curroncol29100563 |
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author | Maeda, Michihide Hisa, Tsuyoshi Kurahashi, Hiroki Hayashida, Harue Lee, Misooja Kakubari, Reisa Matsuzaki, Shinya Mabuchi, Seiji Kamiura, Shoji |
author_facet | Maeda, Michihide Hisa, Tsuyoshi Kurahashi, Hiroki Hayashida, Harue Lee, Misooja Kakubari, Reisa Matsuzaki, Shinya Mabuchi, Seiji Kamiura, Shoji |
author_sort | Maeda, Michihide |
collection | PubMed |
description | In early-stage cervical cancer, ovarian metastasis is relatively rare, and ovarian transposition is often performed during surgery. Although rare, the diagnosis and surgical approach for recurrence at transposed ovaries are challenging. This study focused on the diagnosis and surgical management of transposed ovarian recurrence in cervical cancer patients. A 45-year-old premenopausal woman underwent radical hysterectomy, bilateral salpingectomy, and pelvic lymphadenectomy following postoperative concurrent chemoradiotherapy for stage IB1 cervical cancer. During the initial surgery, the ovary was transposed to the paracolic gutter, and no postoperative complications were observed. Ovarian recurrence was diagnosed using positron emission tomography–computed tomography, and a laparoscopic bilateral oophorectomy was performed. A systematic review identified nine women with transposed ovarian recurrence with no other metastases of cervical cancer, and no studies have discussed the optimal surveillance of transposed ovaries. Of those (n = 9), four women had died of the disease within 2 years of the second surgery, and the prognosis of transposed ovarian cervical cancer seemed poor. Nevertheless, three women underwent laparoscopic oophorectomies, none of whom experienced recurrence after the second surgery. Few studies have examined the surgical management of transposed ovarian recurrence. The optimal surgical approach for transposed ovarian recurrence of cervical cancer requires further investigation. |
format | Online Article Text |
id | pubmed-9600108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96001082022-10-27 Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience Maeda, Michihide Hisa, Tsuyoshi Kurahashi, Hiroki Hayashida, Harue Lee, Misooja Kakubari, Reisa Matsuzaki, Shinya Mabuchi, Seiji Kamiura, Shoji Curr Oncol Systematic Review In early-stage cervical cancer, ovarian metastasis is relatively rare, and ovarian transposition is often performed during surgery. Although rare, the diagnosis and surgical approach for recurrence at transposed ovaries are challenging. This study focused on the diagnosis and surgical management of transposed ovarian recurrence in cervical cancer patients. A 45-year-old premenopausal woman underwent radical hysterectomy, bilateral salpingectomy, and pelvic lymphadenectomy following postoperative concurrent chemoradiotherapy for stage IB1 cervical cancer. During the initial surgery, the ovary was transposed to the paracolic gutter, and no postoperative complications were observed. Ovarian recurrence was diagnosed using positron emission tomography–computed tomography, and a laparoscopic bilateral oophorectomy was performed. A systematic review identified nine women with transposed ovarian recurrence with no other metastases of cervical cancer, and no studies have discussed the optimal surveillance of transposed ovaries. Of those (n = 9), four women had died of the disease within 2 years of the second surgery, and the prognosis of transposed ovarian cervical cancer seemed poor. Nevertheless, three women underwent laparoscopic oophorectomies, none of whom experienced recurrence after the second surgery. Few studies have examined the surgical management of transposed ovarian recurrence. The optimal surgical approach for transposed ovarian recurrence of cervical cancer requires further investigation. MDPI 2022-09-29 /pmc/articles/PMC9600108/ /pubmed/36290840 http://dx.doi.org/10.3390/curroncol29100563 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Maeda, Michihide Hisa, Tsuyoshi Kurahashi, Hiroki Hayashida, Harue Lee, Misooja Kakubari, Reisa Matsuzaki, Shinya Mabuchi, Seiji Kamiura, Shoji Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience |
title | Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience |
title_full | Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience |
title_fullStr | Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience |
title_full_unstemmed | Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience |
title_short | Surgical Management for Transposed Ovarian Recurrence of Cervical Cancer: A Systematic Review with Our Experience |
title_sort | surgical management for transposed ovarian recurrence of cervical cancer: a systematic review with our experience |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600108/ https://www.ncbi.nlm.nih.gov/pubmed/36290840 http://dx.doi.org/10.3390/curroncol29100563 |
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