Tom 2, Nr 1 (2017)
Artykuł przeglądowy
Opublikowany online: 2017-04-28
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Usunięcie jajników podczas zabiegu histerektomii z przyczyn nieonkologicznych – bilans korzyści i strat
Ginekologia i Perinatologia Praktyczna 2017;2(1):9-15.
Streszczenie
Usunięcie macicy to jedna z najczęstszych interwencji chirurgicznych w ginekologii. Zazwyczaj wskazaniami do
zabiegu są schorzenia łagodne. Podczas każdego zabiegu histerektomii chirurg staje przed decyzją co do losu
jajników — w wielu przypadkach są one usuwane jednocześnie w ramach profilaktyki raka jajnika. W piśmiennictwie
można znaleźć argumenty wskazujące na istotność tej decyzji wobec dowodów na hormonalną aktywność
gonad także po menopauzie, niskie ryzyko rozwoju procesu złośliwego w populacji ogólnej i możliwe konsekwencje
ustania czynności hormonalnej jajników w wyniku interwencji chirurgicznej. Z drugiej strony grupa pacjentek
z podwyższonym ryzykiem raka jajnika, jajowodu i otrzewnej może odnieść niewątpliwą korzyść z wycięcia gonad
podczas zabiegu histerektomii.
Słowa kluczowe: histerektomiarak jajnikaobustronne usunięcie jajnikówchirurgiczna menopauzaprofilaktyka raka jajnika
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