Abstract
Six hundred forty-seven cases of carcinoma of the uterine cervix with FIGO stages Ib or more were initially treated with hysterectomy at Kyushu University Hospital from 1973 to 1987. In these, 597 cases could be pathologically reviewed for ovarian metastasis. In these 597 cases, 335 were stage Ib, 71 IIa, 185 IIb, and 6 IIIb. Only 3 (0.5%) of 597 showed ovarian metastasis. All 3 cases were stage IIb. None of stage Ib cancer cases had ovarian metastasis. One (0.19%) of 524 squamous cell carcinomas metastasized to the ovary, whereas 2 (5.5%) of 36 pure adenocarcinomas revealed ovarian metastasis. Interestingly, all ovarian metastatic lesions were microscopic in size and found in the ovarian hilus. As for the primary lesion, all cases with ovarian metastasis showed deep myometrial invasion, corpus invasion, and lymphatic permeation. Two cases showed pelvic lymph node metastases and positive peritoneal washing cytology. From the results of our study, it can be said that it is fairly safe to preserve the ovary at the time of radical operation in squamous cell carcinoma of the uterine cervix, but it may not be safe to preserve the ovary in pure adenocarcinoma of the uterine cervix.
| Original language | English |
|---|---|
| Pages (from-to) | 46-51 |
| Number of pages | 6 |
| Journal | Gynecologic Oncology |
| Volume | 41 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Apr 1991 |
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All Science Journal Classification (ASJC) codes
- Oncology
- Obstetrics and Gynaecology
Cite this
Microscopic ovarian metastasis of the uterine cervical cancer. / Toki, Naoyuki; Tsukamoto, Naoki; Kaku, Tsunehisa; Toh, Nobuhiro; Saito, Toshiaki; Kamura, Toshiharu; Matsukuma, Keita; Nakano, Hitoo.
In: Gynecologic Oncology, Vol. 41, No. 1, 04.1991, p. 46-51.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Microscopic ovarian metastasis of the uterine cervical cancer
AU - Toki, Naoyuki
AU - Tsukamoto, Naoki
AU - Kaku, Tsunehisa
AU - Toh, Nobuhiro
AU - Saito, Toshiaki
AU - Kamura, Toshiharu
AU - Matsukuma, Keita
AU - Nakano, Hitoo
PY - 1991/4
Y1 - 1991/4
N2 - Six hundred forty-seven cases of carcinoma of the uterine cervix with FIGO stages Ib or more were initially treated with hysterectomy at Kyushu University Hospital from 1973 to 1987. In these, 597 cases could be pathologically reviewed for ovarian metastasis. In these 597 cases, 335 were stage Ib, 71 IIa, 185 IIb, and 6 IIIb. Only 3 (0.5%) of 597 showed ovarian metastasis. All 3 cases were stage IIb. None of stage Ib cancer cases had ovarian metastasis. One (0.19%) of 524 squamous cell carcinomas metastasized to the ovary, whereas 2 (5.5%) of 36 pure adenocarcinomas revealed ovarian metastasis. Interestingly, all ovarian metastatic lesions were microscopic in size and found in the ovarian hilus. As for the primary lesion, all cases with ovarian metastasis showed deep myometrial invasion, corpus invasion, and lymphatic permeation. Two cases showed pelvic lymph node metastases and positive peritoneal washing cytology. From the results of our study, it can be said that it is fairly safe to preserve the ovary at the time of radical operation in squamous cell carcinoma of the uterine cervix, but it may not be safe to preserve the ovary in pure adenocarcinoma of the uterine cervix.
AB - Six hundred forty-seven cases of carcinoma of the uterine cervix with FIGO stages Ib or more were initially treated with hysterectomy at Kyushu University Hospital from 1973 to 1987. In these, 597 cases could be pathologically reviewed for ovarian metastasis. In these 597 cases, 335 were stage Ib, 71 IIa, 185 IIb, and 6 IIIb. Only 3 (0.5%) of 597 showed ovarian metastasis. All 3 cases were stage IIb. None of stage Ib cancer cases had ovarian metastasis. One (0.19%) of 524 squamous cell carcinomas metastasized to the ovary, whereas 2 (5.5%) of 36 pure adenocarcinomas revealed ovarian metastasis. Interestingly, all ovarian metastatic lesions were microscopic in size and found in the ovarian hilus. As for the primary lesion, all cases with ovarian metastasis showed deep myometrial invasion, corpus invasion, and lymphatic permeation. Two cases showed pelvic lymph node metastases and positive peritoneal washing cytology. From the results of our study, it can be said that it is fairly safe to preserve the ovary at the time of radical operation in squamous cell carcinoma of the uterine cervix, but it may not be safe to preserve the ovary in pure adenocarcinoma of the uterine cervix.
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UR - http://www.scopus.com/inward/citedby.url?scp=0025727070&partnerID=8YFLogxK
U2 - 10.1016/0090-8258(91)90253-2
DO - 10.1016/0090-8258(91)90253-2
M3 - Article
C2 - 2026359
AN - SCOPUS:0025727070
VL - 41
SP - 46
EP - 51
JO - Gynecologic Oncology
JF - Gynecologic Oncology
SN - 0090-8258
IS - 1
ER -