檢視早期子宮內膜癌保留卵巢的治療

Ovarian Preservation in Early Stage Endometrial Cancer Patients

子宮內膜癌的治療主要是以手術切除病灶，包括全子宮切除、兩側輸卵管卵巢切除、後腹壁淋巴結摘除。但在停經前的婦女，如摘除兩側卵巢，除會引發停經的症狀，並會有長期的骨骼、心臟、神經等影響。根據最新的研究顯示，在停經前早期子宮內膜癌患者，保留卵巢不僅生活品質較好，也不影響生存率，但在執行前務必充分告知患者可能的風險，且術後必須有長期縝密的追蹤。

Treatment for endometrial cancer usually involves total hysterectomy and salpingo-oophorectomy, often accompanied by lymphadenectomy. Bilateral salpingo-oophorectomy in premenopausal women cause significant adverse long-term effects in bone, heart and neurologic health as well as in quality of life. In recent studies, ovarian preservation in premenopausal women with early-stage endometrial cancer seems to be safe and not associated with an increase in cancer related morality. However, preserving ovaries should be performed cautiously and with a consideration of the patient’s desires after providing a full explanation of the potential risks. It should also be kept in mind the continuous follow-up would be necessary for patients with preserved ovaries after hysterectomy.