Current Science and Practice of Surgical and Nonsurgical Opportunities for Ovarian Cancer Prevention

被引：0
作者：
MacArthur, Emily [1 ]
Stone, Rebecca [1 ]
机构：
[1] Johns Hopkins Univ, Kelly Gynecol Oncol Serv, Baltimore, MD 21218 USA
来源：
CLINICAL OBSTETRICS AND GYNECOLOGY | 2024年 / 67卷 / 04期
关键词：
ovarian cancer; prevention; germline genetic mutation; salpingectomy; salpingooophorectomy; genetic testing; REDUCING SALPINGO-OOPHORECTOMY; CONTRACEPTIVES COLLABORATIVE REANALYSIS; TUBAL INTRAEPITHELIAL CARCINOMA; BRCA MUTATION CARRIERS; EPITHELIAL OVARIAN; FALLOPIAN-TUBE; SEROUS CARCINOMA; INTRAUTERINE-DEVICE; GERMLINE MUTATIONS; PATHOLOGICAL FINDINGS;
D O I：
10.1097/GRF.0000000000000900
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Due to improved understanding of ovarian cancer pathogenesis, we have an unprecedented chance to decrease the burden of disease by maximizing opportunities for prevention. Innovations in surgical options for prevention stem from the discovery that many cases directly or indirectly arise from the fallopian tube. Surgical prevention with salpingectomy alone decreases risk by >= 50%. Effective hormonal and nonhormonal chemopreventive agents are also available. Risk stratification is key to ensuring that options for prevention are appropriately matched to individual risk profile. This evidence-based review provides a critical appraisal of the translational health research endeavors supporting ovarian cancer prevention in clinical practice.
引用
收藏
页码：676 / 686
页数：11
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