中国癌症杂志 ›› 2022, Vol. 32 ›› Issue (11): 1044-1048.doi: 10.19401/j.cnki.1007-3639.2022.11.002

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预防性输卵管卵巢切除术在遗传性卵巢癌中的应用

冯征1,2(), 温灏1,2()   

  1. 1.复旦大学附属肿瘤医院肿瘤妇科,复旦大学上海医学院肿瘤学系,上海 200032
  • 收稿日期:2022-10-23 修回日期:2022-11-15 出版日期:2022-11-30 发布日期:2022-12-14
  • 通信作者: 温灏
  • 作者简介:冯 征(ORCID: 0000-0003-2561-3869),博士,主治医师。
    温 灏,医学博士,副主任医师,复旦大学附属肿瘤医院肿瘤妇科行政副主任。中国抗癌协会妇科肿瘤专业委员会委员、秘书长,中国抗癌协会妇科肿瘤科普教育基地专业委员会委员、秘书长,中国抗癌协会肿瘤标志专业委员会妇科肿瘤标志物专家学组副组长,上海市抗癌协会青年理事会理事,上海市抗癌协会肿瘤药物临床研究专业委员会委员,上海市医学会妇科肿瘤学分会卵巢癌学组副组长。Gynecology and Pelvic Medicine编委,《现代妇产科进展》《肿瘤药学》编委。

Risk-reducing salpingo-oophorectomy for hereditary ovarian cancer

FENG Zheng1,2(), WEN Hao1,2()   

  1. 1. Department of Gynecological Oncology, Fudan University Shanghai Cancer Center
    2. Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Received:2022-10-23 Revised:2022-11-15 Published:2022-11-30 Online:2022-12-14
  • Contact: WEN Hao

摘要:

卵巢癌是危害女性生命健康的常见疾病。目前尚无有效的卵巢癌筛查及早期诊断方法,多数卵巢癌发现时已为晚期,总体疗效并不理想。流行病学研究显示,携带相关基因突变的女性罹患卵巢癌的概率显著提高。因此,对其进行预防干预十分重要。预防性输卵管卵巢切除术是目前降低高风险女性卵巢癌发病率的最有效手段。手术和病理取材的规范性是预防性手术发挥作用的有力保障。本文旨在探讨预防性手术在遗传性卵巢癌中应用的现状及争议,以期使预防性手术的开展更加规范化、个体化。

关键词: 卵巢癌, 预防性输卵管卵巢切除术, 遗传性卵巢癌

Abstract:

Ovarian cancer is one of the most common and lethal diseases among females. Due to the difficulty of surveillance and early detection, most ovarian cancers were diagnosed at advanced stage with poor outcomes. Epidemiological studies indicate that women with deleterious gene mutations have higher susceptibility of ovarian cancer. Thus, it is pivotal to prevent its occurrence. Risk-reducing salpingo-oophorectomy is the most effective method to prevent women at high risk from ovarian cancer. It depends on the standardization of the surgical and pathological procedure. In this article, we aimed to elucidate the current status and controversy of this risk-reducing surgery.

Key words: Ovarian cancer, Risk-reducing salpingo-oophorectomy, Hereditary ovarian cancer

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