Prevention of ovarian cancer: a survey of the practice of prophylactic oophorectomy by fellows and members of the Royal College of Obstetricians and Gynaecologists.
作者： IAN JACOBS , DAVID ORAM
DOI: 10.1111/J.1471-0528.1989.TB03248.X
关键词: Gynaecological surgery 、 Ovary 、 Hysterectomy 、 Gynecology 、 Obstetrics 、 Hormone replacement therapy (menopause) 、 Unilateral Oophorectomy 、 Prophylactic Oophorectomy 、 Family history 、 Ovarian cancer 、 Medicine
摘要: A questionnaire designed to investigate attitudes prophylactic oophorectomy was sent 2817 fellows and members of the Royal college Obstetricians Gynaecologists. total 1142 replies received from those who performed regular sessions gynaecological surgery. The number respondents said they would usually remove apparently normal ovaries at time abdominal hysterectomy premenopausal women in age groups 35-39, 40-44, 45-49 over 49 years 4 (0.4%), 27 (2%), 234 (20%) 585 (51%) respectively, postmenopausal 974 (85%). majority that (i) prescribe hormone replacement therapy oophorectomized (82%); (ii) did not consider unilateral have a role prevention ovarian cancer (84%); (iii) routinely discussed question with their patients before operation (65%). Only 128 (11%) believed greater than or equal 10% cancers UK could be prevented by for benign disease, 505 (44%) perform as primary surgical procedure had strong family history cancer.
manchester.ac.uk参考文章(18)
E.Kent Gibbs, Suggested prophylaxis for ovarian cancer American Journal of Obstetrics and Gynecology. ,vol. 111, pp. 756- 765 ,(1971) , 10.1016/0002-9378(71)90485-6
Leib J. Golub, The diagnosis of ovarian cancer; results of the study of 210 patients by the Philadelphia Committee for the Study of Pelvic Cancer. American Journal of Obstetrics and Gynecology. ,vol. 66, pp. 169- 177 ,(1953) , 10.1016/0002-9378(53)90299-3
NANCY G. HILDRETH, JENNIFER L. KELSEY, VIRGINIA A. LIVOLSI, DIANA B. FISCHER, THEODORE R. HOLFORD, EVELYN D. MOSTOW, PETER E. SCHWARTZ, COLIN WHITE, AN EPIDEMIOLOGIC STUDY OF EPITHELIAL CARCINOMA OF THE OVARY American Journal of Epidemiology. ,vol. 114, pp. 398- 405 ,(1981) , 10.1093/OXFORDJOURNALS.AJE.A113207
P Prior, J A Waterhouse, Multiple primary cancers of the breast and ovary. British Journal of Cancer. ,vol. 44, pp. 628- 636 ,(1981) , 10.1038/BJC.1981.247
Silvia Franceschi, Carlo La Vecchia, Costantino Mangioni, Familial ovarian cancer: Eight more families Gynecologic Oncology. ,vol. 13, pp. 31- 36 ,(1982) , 10.1016/0090-8258(82)90005-1
M L Newhouse, R M Pearson, J M Fullerton, E A Boesen, H S Shannon, A case control study of carcinoma of the ovary. Journal of Epidemiology & Community Health. ,vol. 31, pp. 148- 153 ,(1977) , 10.1136/JECH.31.3.148
Ian Jacobs, Jane Bridges, Colin Reynolds, Isabel Stabile, Philippa Kemsley, Jurgis Grudzinskas, David Oram, MULTIMODAL APPROACH TO SCREENING FOR OVARIAN CANCER The Lancet. ,vol. 331, pp. 268- 271 ,(1988) , 10.1016/S0140-6736(88)90351-0
Harold Speert, Prophylaxis of Ovarian Cancer. Annals of Surgery. ,vol. 129, pp. 468- 475 ,(1949) , 10.1097/00000658-194904000-00005
J CASAGRANDE, "INCESSANT OVULATION" AND OVARIAN CANCER The Lancet. ,vol. 314, pp. 170- 173 ,(1979) , 10.1016/S0140-6736(79)91435-1
H L Howe, Age-specific hysterectomy and oophorectomy prevalence rates and the risks for cancer of the reproductive system. American Journal of Public Health. ,vol. 74, pp. 560- 563 ,(1984) , 10.2105/AJPH.74.6.560